Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46T09109000 | NJ |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OP009666 | PA |
NPI | 1063904605 |
---|---|
Provider Name | David Christopher Muscatell |
First Address | Stockton, NJ 08559-1123 |
Second Address | Phillipsburg, NJ 08865-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2018 |
Last Update Date | 17/01/2020 |