Provider Demographics
NPI:1932551553
Name:STEIN, SKYLER (OTR/L)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:
Last Name: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 1:3349 HIGHWAY 138 EAST
Mailing Address - Street 2:BUILDING B SUITE A ALLAIR CORPORATE CENTER
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719
Mailing Address - Country:US
Mailing Address - Phone:732-280-6050
Mailing Address - Fax:
Practice Address - Street 1:3349 HIGHWAY 138 # A
Practice Address - Street 2:BUILDING B SUIT A
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9671
Practice Address - Country:US
Practice Address - Phone:732-761-0302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00741500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist