Healthcare Provider Details

I. General information

NPI: 1891775417
Provider Name (Legal Business Name): NANCY J. COTO M.S.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N FINLEY AVE
BASKING RIDGE NJ
07920-1686
US

IV. Provider business mailing address

135 CLAREMONT RD
BERNARDSVILLE NJ
07924-1852
US

V. Phone/Fax

Practice location:
  • Phone: 908-766-1407
  • Fax: 908-953-8454
Mailing address:
  • Phone: 908-766-1407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00731300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: