Provider Demographics
NPI:1023320710
Name:PINKER, MERETE (OTR/L)
Entity type:Individual
Prefix:
First Name:MERETE
Middle Name:
Last Name:PINKER
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 1:123 S N ST
Mailing Address - Street 2:REYES MTU
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6818
Mailing Address - Country:US
Mailing Address - Phone:209-381-5993
Mailing Address - Fax:
Practice Address - Street 1:123 S N ST
Practice Address - Street 2:REYES MTU
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6818
Practice Address - Country:US
Practice Address - Phone:209-381-5993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist