Charles Cuttler Jr., COTA

Individual provider Active NPI Occupational Therapy Assistant · Northvale, NJ

NPI 1770977720 · NPPES record last updated Mar 26, 2015

Key facts

NPI
1770977720
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
46TA09034800 (NJ)
Practice address
431 Wildwood Rd
Northvale, NJ 07647-1214
Phone
(845) 238-0072
NPI assigned
Mar 26, 2015
Sex
Male
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
46TA09034800NJMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09034800 NJ Yes

Addresses

Primary practice location

431 Wildwood Rd
Northvale, NJ 07647-1214

Mailing address

431 Wildwood Rd
Northvale, NJ 07647-1214
Phone (845) 238-0072

Other providers in Northvale, NJ

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

Sources for this page

Verify at the official NPI Registry.