Active NPIIndividual providerSole proprietor

Ms. Stacey M Cole-Larson, COTA/L

Occupational Therapy Assistant in Englewood, New Jersey

NPI Number1750855789
Practice location
175 W Hudson Ave, Englewood, NJ 07631-1609
Fax
—
Last updated
January 12, 2019

Stacey Michele Cole-Larson is an Occupational Therapy Assistant based in Englewood, NJ. Stacey Michele Cole-Larson practices in Englewood, NJ and has the professional credentials of COTA/L. The NPI Number for Stacey Michele Cole-Larson is 1750855789 and holds a License No. 46TA09025000 (NJ). The current practice location address for Stacey Michele Cole-Larson is 175 W Hudson Ave, Englewood, NJ 07631-1609 and can be reached out via phone at 201-871-8882.

Provider Profile Details

NPI Number
1750855789
Provider Name
Stacey Michele Cole-Larson
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
175 W Hudson Ave, Englewood, NJ 07631-1609
Phone Number
201-871-8882
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2019
Last Update Date
January 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 W Hudson Ave
Englewood, NJ 07631-1609
Zip
07631-1609
Phone Number
201-871-8882
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
61 Franklin St
Tenafly, NJ 07670-2006
City
Tenafly
State
NJ
Zip
07670-2006

License Information

License Number
46TA09025000
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 Ms. Stacey M Cole-Larson, COTA/L?

The NPI number of Ms. Stacey M Cole-Larson, COTA/L is 1750855789. It was assigned on January 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Stacey M Cole-Larson, COTA/L?

Ms. Stacey M Cole-Larson, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09025000.

Where does Ms. Stacey M Cole-Larson, COTA/L practice?

The practice location is 175 W Hudson Ave, Englewood, NJ 07631-1609. The office can be reached at 201-871-8882 (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 1750855789 directly on the NPPES registry website.

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