Provider Demographics
NPI:1699026898
Name:SIMPSON, PATRICIA ANN (MS OTR/L)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:SIMPSON
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 1:5 TOWNSQUARE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2568
Mailing Address - Country:US
Mailing Address - Phone:973-507-9730
Mailing Address - Fax:973-507-9710
Practice Address - Street 1:5 TOWNSQUARE
Practice Address - Street 2:SUITE A
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2568
Practice Address - Country:US
Practice Address - Phone:973-507-9730
Practice Address - Fax:973-507-9710
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00484000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist