Provider Demographics
NPI:1740401108
Name:KAUR, RAVDEEP (OTR L)
Entity Type:Individual
Prefix:MRS
First Name:RAVDEEP
Middle Name:
Last Name:KAUR
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 1:17 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2608
Mailing Address - Country:US
Mailing Address - Phone:609-456-1319
Mailing Address - Fax:609-587-3802
Practice Address - Street 1:17 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2608
Practice Address - Country:US
Practice Address - Phone:609-456-1319
Practice Address - Fax:609-587-3802
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00362100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist