Nivia Harris, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Dayton, NJ

NPI 1780409227 · NPPES record last updated Nov 19, 2024

Key facts

NPI
1780409227
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
46TA09239600 (NJ)
Practice address
399 Ridge Rd Ste 2
Dayton, NJ 08810-1656
Phone
(732) 359-3003
NPI assigned
Nov 19, 2024
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
46TA09239600NJMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09239600 NJ Yes

Addresses

Primary practice location

399 Ridge Rd Ste 2
Dayton, NJ 08810-1656

Mailing address

10 Landing LN Apt 5K
New Brunswick, NJ 08901-1040
Phone (908) 230-9420

Other providers in Dayton, NJ

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

Sources for this page

Verify at the official NPI Registry.