Evelyn Parr Cameron, OTR/L

Individual provider Active NPI Occupational Therapist · Oldwick, NJ

NPI 1780102061 · NPPES record last updated Sep 6, 2017

Key facts

NPI
1780102061
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00159600 (NJ)
Practice address
83 Old Tpke
Oldwick, NJ 08858-7001
Phone
(908) 439-9636
Fax
(908) 439-2338
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
46TR00159600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mane Stream, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00159600 NJ Yes

Addresses

Primary practice location

83 Old Tpke
Oldwick, NJ 08858-7001

Mailing address

PO Box 305
Oldwick, NJ 08858-0305
Phone (908) 439-9636

Other providers in Oldwick, NJ

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

Sources for this page

Verify at the official NPI Registry.