Active NPIIndividual provider

Dr. Isabel K Park, OTD, OTR/L

Occupational Therapist in Cedar Grove, New Jersey

NPI Number1629673264
Practice location
165A Tierney Dr, Cedar Grove, NJ 07009-1956
Fax
—
Last updated
December 2, 2020

Isabel K Park is an Occupational Therapist based in Cedar Grove, NJ. Isabel K Park practices in Cedar Grove, NJ and has the professional credentials of OTD, OTR/L. The NPI Number for Isabel K Park is 1629673264 and holds a License No. 46TR00958700 (NJ). The current practice location address for Isabel K Park is 165A Tierney Dr, Cedar Grove, NJ 07009-1956 and can be reached out via phone at 201-463-6003.

Provider Profile Details

NPI Number
1629673264
Provider Name
Isabel K Park
Credential
OTD, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
165A Tierney Dr, Cedar Grove, NJ 07009-1956
Phone Number
201-463-6003
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2020
Last Update Date
December 2, 2020
Certification Date
December 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
165A Tierney Dr
Cedar Grove, NJ 07009-1956
Zip
07009-1956
Phone Number
201-463-6003
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
165A Tierney Dr
Cedar Grove, NJ 07009-1956
City
Cedar Grove
State
NJ
Zip
07009-1956

License Information

License Number
46TR00958700
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 Dr. Isabel K Park, OTD, OTR/L?

The NPI number of Dr. Isabel K Park, OTD, OTR/L is 1629673264. It was assigned on December 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Isabel K Park, OTD, OTR/L?

Dr. Isabel K Park, OTD, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00958700.

Where does Dr. Isabel K Park, OTD, OTR/L practice?

The practice location is 165A Tierney Dr, Cedar Grove, NJ 07009-1956. The office can be reached at 201-463-6003 (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 1629673264 directly on the NPPES registry website.

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