Nicole Halliwell, DSC, OTR/L
Individual provider Active NPI Occupational Therapist · Oldwick, NJ
NPI 1124668702 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1124668702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00594500 (NJ)
- Practice address
- 83 Old Tpke
Oldwick, NJ 08858-7001 - Phone
- (908) 439-9636
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00594500 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mane Stream, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00594500 | NJ | Yes |
Addresses
Primary practice location
83 Old Tpke
Oldwick, NJ 08858-7001
Mailing address
PO Box 305
Oldwick, NJ 08858-0305
Phone (908) 439-9636
Other providers in Oldwick, NJ
- Rebecca Cobell
- Melanie Dominko-Richards
- Peggy Durrant
- James Lawrence Farmer
- Lorna S. Farmer
- Stephanie Haymaker
- Legacy Treatment Services
- Deborah Z. Libero
- Katrina Low-Beer
- Marla Guariglia Lustig
All providers in Oldwick, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.