Ms. Stacey M Cole-Larson, COTA/L
Occupational Therapy Assistant in Englewood, New Jersey
1750855789- Practice location
- 175 W Hudson Ave, Englewood, NJ 07631-1609
- Phone
- 201-871-8882
- 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 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-1609
- Phone Number
- 201-871-8882
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapy Assistants near Englewood, NJ
View all Occupational Therapy Assistants in Englewood →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.