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NPI Code Detail

MEDICARE: MRS. VALERIE CARNEY OT

MEDICARE:  MRS. VALERIE  CARNEY  OT
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 Therapist46TR00346600NJ

General Provider Information

NPI Number : 1700057452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE CARNEY OT
Provider Business Mailing Address
First Line : 402 LIBERTY AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-4102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9225 KENNEDY BLVD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5361
Country : US
Telephone Number : 201-869-2707
Fax Number : 201-869-2717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2008
Last Update Date : 03/20/2008

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Directions to “ MRS. VALERIE CARNEY OT” Practice Location

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