Provider Demographics
NPI:1194877571
Name:LUBARSKY, KATHLEEN (OTR,L)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:LUBARSKY
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 1:50 MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1209
Mailing Address - Country:US
Mailing Address - Phone:908-953-0021
Mailing Address - Fax:
Practice Address - Street 1:50 MANCHESTER DR
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1209
Practice Address - Country:US
Practice Address - Phone:908-953-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00316800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist