Healthcare Provider Details

I. General information

NPI: 1134839574
Provider Name (Legal Business Name): DANIELLE MARIE CUOZZO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 UNION AVE
BRIDGEWATER NJ
08807-3108
US

IV. Provider business mailing address

11 HOWARD ST
MADISON NJ
07940-1210
US

V. Phone/Fax

Practice location:
  • Phone: 908-725-2366
  • Fax:
Mailing address:
  • Phone: 201-259-7013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00962600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: