Briana Bortnick

Individual provider Active NPI Occupational Therapist · Dumont, NJ

NPI 1497320659 · NPPES record last updated May 20, 2021

Key facts

NPI
1497320659
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00842500 (NJ)
Practice address
189 Berkley PL
Dumont, NJ 07628-1030
Phone
(201) 314-8807
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

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
46TR00842500NJMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00842500 NJ Yes

Addresses

Primary practice location

189 Berkley PL
Dumont, NJ 07628-1030

Mailing address

189 Berkley PL
Dumont, NJ 07628-1030
Phone (201) 314-8807

Other practice location 1

100 Kinderkamack Rd
Emerson, NJ 07630-1828
Phone (201) 265-3700

Other providers in Dumont, NJ

All providers in Dumont, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.