Provider Demographics
NPI:1871705160
Name:DROR, MEYRAV (OTR)
Entity type:Individual
Prefix:MISS
First Name:MEYRAV
Middle Name:
Last Name:DROR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ALASKA AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1802
Mailing Address - Country:US
Mailing Address - Phone:732-886-5524
Mailing Address - Fax:
Practice Address - Street 1:139 GRANT AVE
Practice Address - Street 2:GATEWAY CARE CENTER
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1306
Practice Address - Country:US
Practice Address - Phone:732-300-8678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00134100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ46TR00134100OtherSTATE OF NJ OT LICENSE