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

MRS. DIANE VITILLO, OTR/L

Active

MRS. DIANE VITILLO, OTR/L is a Gerontology Occupational Therapist healthcare provider located in KENDALL PARK, New Jersey. NPI 1639496045 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · KENDALL PARK, NJ

Registration Details

NPI Number
1639496045
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2010 (16.342050058191 yrs)
Last Updated
Jun 7, 2010
Licenses
46TR00508800 (NJ)
46TR00508800 (NJ)

Practice Information

Address
9 TALCOTT CT
KENDALL PARK, NJ, 088247013
Browse NJ providers · Browse ZIP 08824
Phone
7329601655
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
Additional Specialty
Occupational Therapist
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.