Provider Demographics
NPI:1932326212
Name:SINGH, SIRI OM (OTR)
Entity Type:Individual
Prefix:MR
First Name:SIRI OM
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 ABERNETHY DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5003
Mailing Address - Country:US
Mailing Address - Phone:609-989-1419
Mailing Address - Fax:
Practice Address - Street 1:52 ABERNETHY DR
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-5003
Practice Address - Country:US
Practice Address - Phone:609-989-1595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00088500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist