Healthcare Provider Details

I. General information

NPI: 1568569119
Provider Name (Legal Business Name): ELSA GABRIELLE ZAVODA O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LITTLETON RD STE 150
MORRIS PLAINS NJ
07950-2938
US

IV. Provider business mailing address

201 LITTLETON RD STE 150
MORRIS PLAINS NJ
07950-2938
US

V. Phone/Fax

Practice location:
  • Phone: 973-627-0055
  • Fax: 973-627-1622
Mailing address:
  • Phone: 973-627-0055
  • Fax: 973-627-1622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR0001000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: