Active NPIIndividual provider

Jillian Bucolo, OT

Occupational Therapist in Haddon Township, New Jersey

NPI Number1033574561
Practice location
106 Akron Ave, Haddon Township, NJ 08108-2408
Fax
856-219-2407
Last updated
May 23, 2024

Jillian Bucolo is an Occupational Therapist based in Haddon Township, NJ. Jillian Bucolo practices in Haddon Township, NJ and has the professional credentials of OT. The NPI Number for Jillian Bucolo is 1033574561 and holds a License No. 46TR00575800 (NJ). The current practice location address for Jillian Bucolo is 106 Akron Ave, Haddon Township, NJ 08108-2408 and can be reached out via phone at 856-316-8624 and via fax at 856-219-2407.

Provider Profile Details

NPI Number
1033574561
Provider Name
Jillian Bucolo
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
106 Akron Ave, Haddon Township, NJ 08108-2408
Phone Number
856-316-8624
Fax Number
856-219-2407
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
Jillian Gordon (Former Name)
Provider Enumeration Date
December 29, 2015
Last Update Date
May 23, 2024
Certification Date
May 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 Akron Ave
Haddon Township, NJ 08108-2408
Zip
08108-2408
Phone Number
856-316-8624
Fax Number
856-219-2407
Haddon Township, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
106 Akron Ave
Haddon Township, NJ 08108-2408
City
Haddon Township
State
NJ
Zip
08108-2408
Phone Number
856-316-8624

License Information

License Number
46TR00575800
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jillian Bucolo, OT?

The NPI number of Jillian Bucolo, OT is 1033574561. It was assigned on December 29, 2015 and is currently active in the NPPES registry.

What is the specialty of Jillian Bucolo, OT?

Jillian Bucolo, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00575800.

Where does Jillian Bucolo, OT practice?

The practice location is 106 Akron Ave, Haddon Township, NJ 08108-2408. The office can be reached at 856-316-8624 (phone) or 856-219-2407 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033574561 directly on the NPPES registry website.

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