Provider Demographics
NPI:1639256506
Name:GABBAY, JOAN (OTR)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:GABBAY
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 1:19 CANNONADE DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1937
Mailing Address - Country:US
Mailing Address - Phone:732-252-6001
Mailing Address - Fax:732-252-6001
Practice Address - Street 1:289 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8254
Practice Address - Country:US
Practice Address - Phone:732-216-7859
Practice Address - Fax:732-252-6001
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00370100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ099385Medicare ID - Type Unspecified