Stephanie A Schmitt, COTA

Individual provider Active NPI Occupational Therapy Assistant · Waterford Works, NJ

NPI 1215536859 · NPPES record last updated Oct 24, 2020

Key facts

NPI
1215536859
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
46TA09201000 (NJ)
Practice address
31 W Mary LN
Waterford Works, NJ 08089-2401
Phone
(609) 319-2176
NPI assigned
Oct 24, 2020
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
46TA09201000NJMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09201000 NJ Yes

Addresses

Primary practice location

31 W Mary LN
Waterford Works, NJ 08089-2401

Mailing address

31 W Mary LN
Waterford Works, NJ 08089-2401
Phone (609) 319-2176

Other providers in Waterford Works, NJ

All providers in Waterford Works, NJ · Occupational Therapy Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.