Provider Demographics
NPI:1568119295
Name:WILFLING, JANETTE SHINN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:SHINN
Last Name:WILFLING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-0032
Mailing Address - Country:US
Mailing Address - Phone:201-513-6755
Mailing Address - Fax:
Practice Address - Street 1:380 FORSGATE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-5114
Practice Address - Country:US
Practice Address - Phone:609-409-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR003322100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist