Provider Demographics
NPI:1821538166
Name:GRAMAS, NATANYA ELKA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NATANYA
Middle Name:ELKA
Last Name:GRAMAS
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 1:36 HAWTHORNE PL
Mailing Address - Street 2:APARTMENT 2-S
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3229
Mailing Address - Country:US
Mailing Address - Phone:973-819-8566
Mailing Address - Fax:
Practice Address - Street 1:36 HAWTHORNE PL
Practice Address - Street 2:APARTMENT 2-S
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3229
Practice Address - Country:US
Practice Address - Phone:973-819-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00767000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist