Provider Demographics
NPI:1902377252
Name:ZORN, REBBECCA JEAN CHEW (MS, OTR)
Entity Type:Individual
Prefix:
First Name:REBBECCA
Middle Name:JEAN CHEW
Last Name:ZORN
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:REBBECCA
Other - Middle Name:JEAN
Other - Last Name:CHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 EWAN CT
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-3856
Mailing Address - Country:US
Mailing Address - Phone:862-266-4636
Mailing Address - Fax:
Practice Address - Street 1:50 POLIFLY RD
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1748
Practice Address - Country:US
Practice Address - Phone:201-646-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00806900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist