Provider Demographics
NPI:1972711737
Name:WEINBERG, LISA BETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:BETH
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ACORN HILL DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1508
Mailing Address - Country:US
Mailing Address - Phone:856-424-7686
Mailing Address - Fax:
Practice Address - Street 1:10 ACORN HILL DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1508
Practice Address - Country:US
Practice Address - Phone:856-424-7686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00034200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist