Provider Demographics
NPI:1679192389
Name:MANE, URMILA (OTR/L, CBS)
Entity type:Individual
Prefix:
First Name:URMILA
Middle Name:
Last Name:MANE
Suffix:
Gender:F
Credentials:OTR/L, CBS
Other - Prefix:
Other - First Name:URMILA
Other - Middle Name:
Other - Last Name:JADHAV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:240 TOWNE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1230
Mailing Address - Country:US
Mailing Address - Phone:732-997-7381
Mailing Address - Fax:
Practice Address - Street 1:240 TOWNE CENTRE DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1230
Practice Address - Country:US
Practice Address - Phone:732-997-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024431225X00000X
NJ46TR00917900225XF0002X, 225XN1300X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & SwallowingGroup - Single Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation