Provider Demographics
NPI:1629755350
Name:LAKRITZ, REGAN SUE (OTR)
Entity Type:Individual
Prefix:MS
First Name:REGAN
Middle Name:SUE
Last Name:LAKRITZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4533
Mailing Address - Country:US
Mailing Address - Phone:908-209-1666
Mailing Address - Fax:
Practice Address - Street 1:234 SOMERVILLE RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2616
Practice Address - Country:US
Practice Address - Phone:908-234-0768
Practice Address - Fax:908-234-2318
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00196500225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics