Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 46TR00010100 | NJ |
N | 225XE0001X | Environmental Modification | 46TR00010100 | NJ |
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00010100 | NJ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00010100 | NJ |
NPI | 1073874418 |
---|---|
Provider Name | Mrs. Josephine Tina Clapcich |
First Address | Stirling, NJ 07980-1115 |
Second Address | Rahway, NJ 07065-2764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 01/06/2012 |