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NPI Code Detail

MEDICARE: KATHERINE VELARDI COTA/L

MEDICARE:   KATHERINE  VELARDI  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant46TA09069900NJ

General Provider Information

NPI Number : 1467628206
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE VELARDI COTA/L
Provider Business Mailing Address
First Line : 10 NORWOOD PL
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-4013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 E LINDSLEY RD
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1023
Country : US
Telephone Number : 973-756-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 08/04/2014

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Directions to “ KATHERINE VELARDI COTA/L” Practice Location

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