Active NPIIndividual provider

Mrs. Colette D Gandolfo, COTA

Occupational Therapy Assistant in Cedar Grove, New Jersey

NPI Number1184743114
Practice location
536 Ridge RD, Cedar Grove, NJ 07009
Fax
—
Last updated
July 8, 2007

Colette Dawn Gandolfo is an Occupational Therapy Assistant based in Cedar Grove, NJ. Colette Dawn Gandolfo practices in Cedar Grove, NJ and has the professional credentials of COTA. The NPI Number for Colette Dawn Gandolfo is 1184743114 and holds a License No. 46TA09048800 (NJ). The current practice location address for Colette Dawn Gandolfo is 536 Ridge RD, Cedar Grove, NJ 07009 and can be reached out via phone at 973-239-9300.

Provider Profile Details

NPI Number
1184743114
Provider Name
Colette Dawn Gandolfo
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
536 Ridge RD, Cedar Grove, NJ 07009
Phone Number
973-239-9300
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
536 Ridge RD
Cedar Grove, NJ 07009
Zip
07009
Phone Number
973-239-9300
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
16 Vandervort Street
Florida, NY 10921
City
Florida
State
NY
Zip
10921
Phone Number
845-651-5136

License Information

License Number
46TA09048800
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Mrs. Colette D Gandolfo, COTA?

The NPI number of Mrs. Colette D Gandolfo, COTA is 1184743114. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Colette D Gandolfo, COTA?

Mrs. Colette D Gandolfo, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09048800.

Where does Mrs. Colette D Gandolfo, COTA practice?

The practice location is 536 Ridge RD, Cedar Grove, NJ 07009. The office can be reached at 973-239-9300 (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 1184743114 directly on the NPPES registry website.

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