Provider Demographics
NPI:1366749319
Name:SKLAR, GENNIFER M (OT)
Entity type:Individual
Prefix:MRS
First Name:GENNIFER
Middle Name:M
Last Name:SKLAR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SAINT GEORGES RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1655
Mailing Address - Country:US
Mailing Address - Phone:215-820-1300
Mailing Address - Fax:
Practice Address - Street 1:720 SAINT GEORGES RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1655
Practice Address - Country:US
Practice Address - Phone:215-820-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-26
Last Update Date:2011-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTR00381300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist