Provider Demographics
NPI:1427847748
Name:NALUPTA, LYNN MARIE (OT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:NALUPTA
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PICTON ST
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1133
Mailing Address - Country:US
Mailing Address - Phone:908-295-0638
Mailing Address - Fax:
Practice Address - Street 1:19 PICTON ST
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1133
Practice Address - Country:US
Practice Address - Phone:908-295-0638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00312000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics