Healthcare Provider Details

I. General information

NPI: 1821935610
Provider Name (Legal Business Name): DANIELLE NORR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ENGLE ST STE 21
ENGLEWOOD NJ
07631-2417
US

IV. Provider business mailing address

174 CAMBRIDGE CIR
ORADELL NJ
07649-2406
US

V. Phone/Fax

Practice location:
  • Phone: 201-525-8926
  • Fax:
Mailing address:
  • Phone: 917-379-2483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR01292200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: