Provider Demographics
NPI:1932369501
Name:TROIA, CYNTHIA THERESA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:THERESA
Last Name:TROIA
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 1:182 LAKESIDE RD
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-2846
Mailing Address - Country:US
Mailing Address - Phone:917-674-5622
Mailing Address - Fax:973-657-9152
Practice Address - Street 1:182 LAKESIDE RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-2846
Practice Address - Country:US
Practice Address - Phone:917-674-5622
Practice Address - Fax:973-657-9152
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2308-1225X00000X, 225XP0200X
NJTR001639225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist