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

COLEEN MOIRA DIZON, LPTA

Active Sole Proprietor

COLEEN MOIRA DIZON, LPTA is a Occupational Therapist healthcare provider located in NEWARK, New Jersey. NPI 1730705203 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · NEWARK, NJ

Registration Details

NPI Number
1730705203
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2020 (6.1030893508351 yrs)
Last Updated
Jun 22, 2020
License
40QB00365400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
5 MANOR DR APT 3N
NEWARK, NJ, 071063236
Browse NJ providers · Browse ZIP 07106
Phone
8589007854
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in NEWARK, NJ

Name Credential NPI
CLAUDIA E CARNES PTA 1740408228
MS. JULIE RADICE PTA 1649491903
MRS. IRINA ZAZOVSKY PTA 1063633329
MS. IRIS MYRTA HERNANDEZ P.T.ASSISTANT 1346462843
MR. SHAWN ISHMAEL COLE PTA 1174754956
MORGAN BUSUMTWI PTA 1467754077
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.