Active NPIIndividual providerSole proprietor

Thena Wilson, COTA

Occupational Therapist in Willingboro, New Jersey

NPI Number1073902086
Practice location
36 Pine St, Willingboro, NJ 08046
Fax
—
Last updated
January 14, 2015

Thena Wilson is an Occupational Therapist based in Willingboro, NJ. Thena Wilson practices in Willingboro, NJ and has the professional credentials of COTA. The NPI Number for Thena Wilson is 1073902086 and holds a License No. 46TA09098800 (NJ). The current practice location address for Thena Wilson is 36 Pine St, Willingboro, NJ 08046 and can be reached out via phone at 609-954-0349.

Provider Profile Details

NPI Number
1073902086
Provider Name
Thena Wilson
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
36 Pine St, Willingboro, NJ 08046
Phone Number
609-954-0349
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2015
Last Update Date
January 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Pine St
Willingboro, NJ 08046
Zip
08046
Phone Number
609-954-0349
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
36 Pine St
Willingboro, NJ 08046-4600
City
Willingboro
State
NJ
Zip
08046-4600
Phone Number
609-954-0349

License Information

License Number
46TA09098800
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 Thena Wilson, COTA?

The NPI number of Thena Wilson, COTA is 1073902086. It was assigned on January 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Thena Wilson, COTA?

Thena Wilson, COTA is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TA09098800.

Where does Thena Wilson, COTA practice?

The practice location is 36 Pine St, Willingboro, NJ 08046. The office can be reached at 609-954-0349 (phone).

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 1073902086 directly on the NPPES registry website.

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