Mrs. Angela Marie Fennelly
Occupational Therapist - Neurorehabilitation
300 Market St
Saddle Brook
, New Jersey 07663-5309
Mrs. Angela Marie Fennelly
Occupational Therapist - Neurorehabilitation
300 Market St
Saddle Brook
, New Jersey 07663-5309
(201) 390-1536
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Angela Marie Fennelly
- 241 Kearny Ave Apt. 6
- Kearny, NJ
- Zip : 07032-2525
- Phone : (201) 390-1536
Second Address
- Mrs. Angela Marie Fennelly
- 300 Market St
- Saddle Brook, NJ
- Zip : 07663-5309
- Phone : (201) 368-6117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00386200 | NJ |
National Provider Identifier
| NPI | 1144358227 |
|---|---|
| Provider Name | Mrs. Angela Marie Fennelly |
| First Address | Kearny, NJ 07032-2525 |
| Second Address | Saddle Brook, NJ 07663-5309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 46TR00386200 | OCCUPATIONAL THERAPIST (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.