Tess Gagliano, OTR/L

Individual provider Active NPI Occupational Therapist · Atlantic Highlands, NJ

NPI 1013469907 · NPPES record last updated Feb 6, 2017

Key facts

NPI
1013469907
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0004886 (CO)
Practice address
35 E Washington Ave
Atlantic Highlands, NJ 07716-1327
Phone
(732) 492-0908
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT.0004886COMDOccupational Therapist
46TR00674700NJMDRehabilitation Hospital
6656AZMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 46TR00674700 NJ
Skilled Nursing Facility 314000000X 6656 AZ
Occupational Therapist 225X00000X OT.0004886 CO Yes

Addresses

Primary practice location

35 E Washington Ave
Atlantic Highlands, NJ 07716-1327

Mailing address

35 E Washington Ave
Atlantic Highlands, NJ 07716-1327

Other providers in Atlantic Highlands, NJ

All providers in Atlantic Highlands, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.