Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00003400 | NJ |
NPI | 1598142416 |
---|---|
Provider Name | Mrs. Linda S Cammaroto |
First Address | Newton, NJ 07860-4913 |
Second Address | Newton, NJ 07860-4913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |