MEDICARE: LINDA SPAGNOLA

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
1	224Z00000X	Occupational Therapy Assistant	46TA09196400	NJ

General Provider Information

NPI Number	:	1316821887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SPAGNOLA

Provider Business Mailing Address
First Line	:	44 APPLE ST STE 5
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2672
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 APPLE ST STE 5
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2672
Country	:	US
Telephone Number	:	848-878-1126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

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Directions to “ LINDA SPAGNOLA ” Practice Location

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