Provider Demographics
NPI:1659158244
Name:GRABINSKY, KYRSTEN (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:KYRSTEN
Middle Name:
Last Name:GRABINSKY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GALES DR APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2912
Mailing Address - Country:US
Mailing Address - Phone:908-698-7667
Mailing Address - Fax:
Practice Address - Street 1:1129 BLOOMFIELD AVE STE 210
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7123
Practice Address - Country:US
Practice Address - Phone:973-637-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01131700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist