Healthcare Provider Details

I. General information

NPI: 1700700119
Provider Name (Legal Business Name): EMILY HEWETT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SUMMER ST
LODI NJ
07644
US

IV. Provider business mailing address

10 SUMMER ST
LODI NJ
07644
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6260
  • Fax:
Mailing address:
  • Phone: 201-368-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01306000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: