Mrs. Diane Modica
Occupational Therapist Occupational Therapist - Hand
1373 Broad Street Suite 302
Clifton
, New Jersey 07013
Mrs. Diane Modica
Occupational Therapist Occupational Therapist - Hand
1373 Broad Street Suite 302
Clifton
, New Jersey 07013
(973) 542-1450
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Diane Modica
- 72 Whitford Avenue
- Nutley, NJ
- Zip : 07110
- Phone : (973) 542-1450
Second Address
- Mrs. Diane Modica
- 1373 Broad Street Suite 302
- Clifton, NJ
- Zip : 07013
- Fax : (973) 773-4336
- Phone : (973) 773-4263
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 46TR00190911 | NJ |
| N | 225XH1200X | Occupational Therapist - Hand | 9209001871 |
National Provider Identifier
| NPI | 1134287063 |
|---|---|
| Provider Name | Mrs. Diane Modica |
| First Address | Nutley, NJ 07110 |
| Second Address | Clifton, NJ 07013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 08/07/2007 |
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.