Provider Demographics
NPI:1245508704
Name:CAINE, PAMELA G (OTR/L)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:G
Last Name:CAINE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PILGRIM CT
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-3132
Mailing Address - Country:US
Mailing Address - Phone:201-755-5830
Mailing Address - Fax:
Practice Address - Street 1:401 S VAN BRUNT ST
Practice Address - Street 2:THE FOCUS CENTER
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4604
Practice Address - Country:US
Practice Address - Phone:201-894-5800
Practice Address - Fax:201-894-5990
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00567400225X00000X
NY017054225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist