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NPI Code Detail

MEDICARE: MISS JUDITH ANN RIEKERT OTR/L

MEDICARE: MISS JUDITH ANN RIEKERT OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist46TR00264000NJ

General Provider Information

NPI Number : 1306030218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JUDITH ANN RIEKERT OTR/L
Provider Business Mailing Address
First Line : 75-79 CHURCH ST APT 14
Second Line :
City : LODI
State : NJ
Zip : 07644-2426
Country : US
Telephone Number : 201-757-9206
Fax Number :
Provider Business Practice Location Address
First Line : 398 POMPTON AVE
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1813
Country : US
Telephone Number : 973-239-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2007
Last Update Date : 09/04/2007

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Directions to “ MISS JUDITH ANN RIEKERT OTR/L” Practice Location

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