Renee L Bolduc, COTA/L
Occupational Therapy Assistant in Ridgefield Park, New Jersey
1790984136- Practice location
- 199 Bergen Tpke Apt 3L, Ridgefield Park, NJ 07660-2342
- Phone
- 201-641-4832
- Fax
- —
- Last updated
- April 25, 2015
Renee L Bolduc is an Occupational Therapy Assistant based in Ridgefield Park, NJ. Renee L Bolduc practices in Ridgefield Park, NJ and has the professional credentials of COTA/L. The NPI Number for Renee L Bolduc is 1790984136 and holds a License No. 46TA09075800 (NJ). The current practice location address for Renee L Bolduc is 199 Bergen Tpke Apt 3L, Ridgefield Park, NJ 07660-2342 and can be reached out via phone at 201-641-4832.
Provider Profile Details
- NPI Number
- 1790984136
- Provider Name
- Renee L Bolduc
- Credential
- COTA/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 199 Bergen Tpke Apt 3L, Ridgefield Park, NJ 07660-2342
- Phone Number
- 201-641-4832
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 16, 2007
- Last Update Date
- April 25, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Bergen Tpke Apt 3L
Ridgefield Park, NJ 07660-2342 - City
- Ridgefield Park
- State
- New Jersey
- Zip
- 07660-2342
- Phone Number
- 201-641-4832
Provider Business Mailing Address Details
- Address
- 199 Bergen Tpke Apt 3L
Ridgefield Park, NJ 07660-2342 - City
- Ridgefield Park
- State
- NJ
- Zip
- 07660-2342
- Phone Number
- 201-641-4832
License Information
- License Number (1)
- 46TA09075800
- License State (1)
- NJ
- Taxonomy (1)
- Occupational Therapy Assistant · 224Z00000X · Primary
- License Number (2)
- 007426-1
- License State (2)
- NY
- Taxonomy (2)
- Occupational Therapy Assistant · 224Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Renee L Bolduc, COTA/L?
The NPI number of Renee L Bolduc, COTA/L is 1790984136. It was assigned on July 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Renee L Bolduc, COTA/L?
Renee L Bolduc, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09075800.
Where does Renee L Bolduc, COTA/L practice?
The practice location is 199 Bergen Tpke Apt 3L, Ridgefield Park, NJ 07660-2342. The office can be reached at 201-641-4832 (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 1790984136 directly on the NPPES registry website.