Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00049900 | NJ |
NPI | 1063820314 |
---|---|
Provider Name | Dr. Catherine Marie Cavaliere |
First Address | Tenafly, NJ 07670-2730 |
Second Address | Tenafly, NJ 07670-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2014 |
Last Update Date | 31/07/2014 |