Provider Demographics
NPI:1891923496
Name:SARWADNYA, HARSHALA DIWAKAR
Entity Type:Individual
Prefix:
First Name:HARSHALA
Middle Name:DIWAKAR
Last Name:SARWADNYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SHORT HILLS CIR
Mailing Address - Street 2:APT 2A
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1246
Mailing Address - Country:US
Mailing Address - Phone:973-912-7088
Mailing Address - Fax:
Practice Address - Street 1:65 BERGEN STREET
Practice Address - Street 2:NEWARK THERAPY SERVICES
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101
Practice Address - Country:US
Practice Address - Phone:973-972-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00157600225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics