Provider Demographics
NPI:1871829838
Name:TRIVEDI-MHATRE, VEENA (OT)
Entity Type:Individual
Prefix:
First Name:VEENA
Middle Name:
Last Name:TRIVEDI-MHATRE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2897
Mailing Address - Country:US
Mailing Address - Phone:732-202-8790
Mailing Address - Fax:
Practice Address - Street 1:9,PARTRIDGE LN
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2897
Practice Address - Country:US
Practice Address - Phone:732-202-8790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR0386900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist