Provider Demographics
NPI:1508499369
Name:NAIDUS-MUSTERER, DONNA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:NAIDUS-MUSTERER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:MUSTERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:44 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-9550
Mailing Address - Country:US
Mailing Address - Phone:609-372-4532
Mailing Address - Fax:609-372-4519
Practice Address - Street 1:44 SHEFFIELD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-9550
Practice Address - Country:US
Practice Address - Phone:609-372-4532
Practice Address - Fax:609-372-4519
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00181100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist