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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER BOTTALICO, COTA

Active Sole Proprietor

JENNIFER BOTTALICO, COTA is a Occupational Therapy Assistant healthcare provider located in HAINESPORT, New Jersey. NPI 1346474954 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HAINESPORT, NJ

Registration Details

NPI Number
1346474954
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2009 (17.22012859742 yrs)
Last Updated
May 11, 2009
License
46TA09071600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
9 MARYLAND AVE
HAINESPORT, NJ, 080363513
Browse NJ providers · Browse ZIP 08036
Phone
8009506066
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.