Active NPIIndividual providerSole proprietor

Kimberly Carducci, COTA/L

Occupational Therapy Assistant in Pennsauken, New Jersey

NPI Number1972960946
Practice location
7211 Githens Ave, Pennsauken, NJ 08109-3156
Fax
—
Last updated
January 21, 2016

Kimberly Carducci is an Occupational Therapy Assistant based in Pennsauken, NJ. Kimberly Carducci practices in Pennsauken, NJ and has the professional credentials of COTA/L. The NPI Number for Kimberly Carducci is 1972960946 and holds a License No. 46TA09114700 (NJ). The current practice location address for Kimberly Carducci is 7211 Githens Ave, Pennsauken, NJ 08109-3156 and can be reached out via phone at 856-486-2055.

Provider Profile Details

NPI Number
1972960946
Provider Name
Kimberly Carducci
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
7211 Githens Ave, Pennsauken, NJ 08109-3156
Phone Number
856-486-2055
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2016
Last Update Date
January 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
7211 Githens Ave
Pennsauken, NJ 08109-3156
Zip
08109-3156
Phone Number
856-486-2055
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
7211 Githens Ave
Pennsauken, NJ 08109-3156
City
Pennsauken
State
NJ
Zip
08109-3156
Phone Number
856-486-2055

License Information

License Number (1)
46TA09114700
License State (1)
NJ
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X · Primary
License Number (2)
OP008327
License State (2)
PA
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X

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 Kimberly Carducci, COTA/L?

The NPI number of Kimberly Carducci, COTA/L is 1972960946. It was assigned on January 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Kimberly Carducci, COTA/L?

Kimberly Carducci, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09114700.

Where does Kimberly Carducci, COTA/L practice?

The practice location is 7211 Githens Ave, Pennsauken, NJ 08109-3156. The office can be reached at 856-486-2055 (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 1972960946 directly on the NPPES registry website.

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