Provider Demographics
NPI:1578964607
Name:HIRSCHPRUNG, ESTHER (OTR/L)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:HIRSCHPRUNG
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 1:6 8TH ST
Mailing Address - Street 2:LAKEWOOD
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2815
Mailing Address - Country:US
Mailing Address - Phone:917-673-2744
Mailing Address - Fax:
Practice Address - Street 1:6 8TH ST
Practice Address - Street 2:LAKEWOOD
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2815
Practice Address - Country:US
Practice Address - Phone:917-673-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00661600225X00000X
NY019040225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist