Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00177800 | NJ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00177800 | NJ |
NPI | 1801326996 |
---|---|
Provider Name | Mrs. Maria L. Cassetta |
First Address | Hammonton, NJ 08037-1108 |
Second Address | Hammonton, NJ 08037-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2017 |
Last Update Date | 17/03/2018 |