Provider Demographics
NPI:1255584082
Name:DEMARMELS, VANESSA CHRISTINE (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:CHRISTINE
Last Name:DEMARMELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:CHRISTINE
Other - Last Name:PUMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 SYLVAN WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006
Mailing Address - Country:US
Mailing Address - Phone:516-435-7851
Mailing Address - Fax:
Practice Address - Street 1:25 POMPTON AVENUE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044
Practice Address - Country:US
Practice Address - Phone:516-435-7851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010408-1225XP0200X
NJ46TR00529400225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics