Michelle Beyrich

Individual provider Active NPI Occupational Therapist · Palisades Park, NJ

NPI 1831545946 · NPPES record last updated May 6, 2016

Key facts

NPI
1831545946
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00684100 (NJ)
Practice address
423 Bergen Blvd
Palisades Park, NJ 07650-2319
Phone
(201) 321-1474
NPI assigned
May 6, 2016
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
46TR00684100NJMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00684100 NJ Yes

Addresses

Primary practice location

423 Bergen Blvd
Palisades Park, NJ 07650-2319

Mailing address

423 Bergen Blvd
Palisades Park, NJ 07650-2319
Phone (201) 321-1474

Other providers in Palisades Park, NJ

All providers in Palisades Park, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.