Provider Demographics
NPI:1821710914
Name:GOVIND, NIMISHA Y (OTR/L)
Entity Type:Individual
Prefix:
First Name:NIMISHA
Middle Name:Y
Last Name:GOVIND
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 1:4 RED HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5520
Mailing Address - Country:US
Mailing Address - Phone:973-803-3073
Mailing Address - Fax:
Practice Address - Street 1:4 RED HILL RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5520
Practice Address - Country:US
Practice Address - Phone:973-803-3073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01084300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist