Active NPIIndividual provider

Mr. Edmond B Bock III, COTA/L

Occupational Therapy Assistant in Atco, New Jersey

NPI Number1932221108
Practice location
190 Lake Dr, Atco, NJ 08004-3013
Fax
—
Last updated
June 7, 2009

Edmond Bernard Bock is an Occupational Therapy Assistant based in Atco, NJ. Edmond Bernard Bock practices in Atco, NJ and has the professional credentials of COTA/L. The NPI Number for Edmond Bernard Bock is 1932221108 and holds a License No. 46ta09056000 (NJ). The current practice location address for Edmond Bernard Bock is 190 Lake Dr, Atco, NJ 08004-3013 and can be reached out via phone at 856-210-6231.

Provider Profile Details

NPI Number
1932221108
Provider Name
Edmond Bernard Bock
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
190 Lake Dr, Atco, NJ 08004-3013
Phone Number
856-210-6231
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2007
Last Update Date
June 7, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Lake Dr
Atco, NJ 08004-3013
City
Atco
Zip
08004-3013
Phone Number
856-210-6231
Atco, NJ 08004Get directions →

Provider Business Mailing Address Details

Address
190 Lake Dr
Atco, NJ 08004-3013
City
Atco
State
NJ
Zip
08004-3013
Phone Number
856-210-6231

License Information

License Number
46ta09056000
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 Mr. Edmond B Bock III, COTA/L?

The NPI number of Mr. Edmond B Bock III, COTA/L is 1932221108. It was assigned on April 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Edmond B Bock III, COTA/L?

Mr. Edmond B Bock III, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46ta09056000.

Where does Mr. Edmond B Bock III, COTA/L practice?

The practice location is 190 Lake Dr, Atco, NJ 08004-3013. The office can be reached at 856-210-6231 (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 1932221108 directly on the NPPES registry website.

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