MEDICARE: EMILY ELIZABETH SERPICO

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1760325575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH SERPICO

Provider Business Mailing Address
First Line	:	3155 STATE ROUTE 10 STE 8
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-3492
Country	:	US
Telephone Number	:	856-519-5780
Fax Number	:	856-238-6865

Provider Business Practice Location Address
First Line	:	3155 STATE ROUTE 10 STE 8
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-3492
Country	:	US
Telephone Number	:	856-519-5780
Fax Number	:	856-238-6865

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ EMILY ELIZABETH SERPICO ” Practice Location

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