Shekera Robinson, COTA

Individual provider Active NPI Occupational Therapy Assistant · Montague, NJ

NPI 1265930804 · NPPES record last updated Jan 29, 2018

Key facts

NPI
1265930804
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP008953 (PA)
Practice address
7 Old Mashipacong Rd
Montague, NJ 07827-3407
Phone
(973) 336-8509
NPI assigned
Jan 29, 2018
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
OP008953PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X OP008953 PA Yes

Addresses

Primary practice location

7 Old Mashipacong Rd
Montague, NJ 07827-3407

Mailing address

7 Old Mashipacong Rd
Montague, NJ 07827-3407

Other names

  • Shekera Robinson Professional name

Other providers in Montague, NJ

All providers in Montague, NJ · Occupational Therapy Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.