Healthcare Provider Details

I. General information

NPI: 1497588701
Provider Name (Legal Business Name): CASSANDRA M. HULL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MEMORIAL PKWY STE 208
PHILLIPSBURG NJ
08865-2773
US

IV. Provider business mailing address

13 FAWN RUN
BLOOMSBURY NJ
08804-3046
US

V. Phone/Fax

Practice location:
  • Phone: 908-847-6756
  • Fax:
Mailing address:
  • Phone: 908-303-7073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: