Palakben Krunal Bhatt

Individual provider Active NPI Occupational Therapy Assistant · Landing, NJ

NPI 1548839780 · NPPES record last updated Jun 22, 2021

Key facts

NPI
1548839780
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
46TA09210200 (NJ)
Practice address
74 Elizabeth Way
Landing, NJ 07850-1814
Phone
(724) 762-0199
NPI assigned
Jun 22, 2021
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
46TA09210200NJMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09210200 NJ Yes

Addresses

Primary practice location

74 Elizabeth Way
Landing, NJ 07850-1814

Mailing address

74 Elizabeth Way
Landing, NJ 07850-1814
Phone (724) 762-0199

Other providers in Landing, NJ

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

Sources for this page

Verify at the official NPI Registry.