Healthcare Provider Details

I. General information

NPI: 1457879066
Provider Name (Legal Business Name): SPOT ON THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BRIDGEWOOD AVE
LAKEWOOD NJ
08701
US

IV. Provider business mailing address

7 BRIDGEWOOD AVE
LAKEWOOD NJ
08701
US

V. Phone/Fax

Practice location:
  • Phone: 732-994-3163
  • Fax:
Mailing address:
  • Phone: 732-994-3163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. AARON SAKS
Title or Position: OWNER
Credential:
Phone: 732-994-3163