Jennifer O'Dea, OTR
Individual provider Active NPI Pediatric Occupational Therapist · Rumson, NJ
NPI 1508196155 · NPPES record last updated Jan 4, 2010
Key facts
- NPI
- 1508196155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 46TR00171600 (NJ)
- Practice address
- 64 Black Point Rd
Rumson, NJ 07760-1642 - Phone
- (201) 390-1298
- NPI assigned
- Jan 4, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00171600 | NJ | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR00171600 | NJ | Yes |
Addresses
Primary practice location
64 Black Point Rd
Rumson, NJ 07760-1642
Mailing address
64 Black Point Rd
Rumson, NJ 07760-1642
Phone (201) 390-1298
Other providers in Rumson, NJ
- Nancy L Mooradian
- Deeanna Merz Nagel
- Navesink Physical Therapy LLC
- Navesink Wellness Center, LLC
- North Atlantic Diagnostic
- Michelle O'Keefe
- Amit Patel
- Joseph F Perry
- Dina Polidori
- Victoria A Prindiville
All providers in Rumson, NJ · Pediatric 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 4, 2010. 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.