Provider Demographics
NPI:1912617739
Name:VITLIN-STEIN, ISABELLA (OTR/L)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:VITLIN-STEIN
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 1:1 TRENT PL
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07933-1715
Mailing Address - Country:US
Mailing Address - Phone:973-216-6878
Mailing Address - Fax:
Practice Address - Street 1:346 E CEDAR ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4221
Practice Address - Country:US
Practice Address - Phone:973-333-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01098600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist