Active NPIIndividual providerSole proprietor

Etosha D Whitaker-Kaba, OT

Occupational Therapist in Monmouth Junction, New Jersey

NPI Number1730497371
Practice location
406 Eastgate Dr, Monmouth Junction, NJ 08852-2614
Fax
—
Last updated
January 17, 2012

Etosha D Whitaker-Kaba is an Occupational Therapist based in Monmouth Junction, NJ. Etosha D Whitaker-Kaba practices in Monmouth Junction, NJ and has the professional credentials of OT. The NPI Number for Etosha D Whitaker-Kaba is 1730497371 and holds a License No. 46TR00531200 (NJ). The current practice location address for Etosha D Whitaker-Kaba is 406 Eastgate Dr, Monmouth Junction, NJ 08852-2614 and can be reached out via phone at 215-220-5366.

Provider Profile Details

NPI Number
1730497371
Provider Name
Etosha D Whitaker-Kaba
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
406 Eastgate Dr, Monmouth Junction, NJ 08852-2614
Phone Number
215-220-5366
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2010
Last Update Date
January 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
406 Eastgate Dr
Monmouth Junction, NJ 08852-2614
Zip
08852-2614
Phone Number
215-220-5366
Monmouth Junction, NJ 08852Get directions →

Provider Business Mailing Address Details

Address
406 Eastgate Dr
Monmouth Junction, NJ 08852-2614
City
Monmouth Junction
State
NJ
Zip
08852-2614

License Information

License Number
46TR00531200
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 Etosha D Whitaker-Kaba, OT?

The NPI number of Etosha D Whitaker-Kaba, OT is 1730497371. It was assigned on September 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Etosha D Whitaker-Kaba, OT?

Etosha D Whitaker-Kaba, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00531200.

Where does Etosha D Whitaker-Kaba, OT practice?

The practice location is 406 Eastgate Dr, Monmouth Junction, NJ 08852-2614. The office can be reached at 215-220-5366 (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 1730497371 directly on the NPPES registry website.

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