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

RENEE L BOLDUC, COTA/L

Active Sole Proprietor

RENEE L BOLDUC, COTA/L is a Occupational Therapy Assistant healthcare provider located in RIDGEFIELD PARK, New Jersey. NPI 1790984136 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · RIDGEFIELD PARK, NJ

Registration Details

NPI Number
1790984136
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2007 (19.038560674612 yrs)
Last Updated
Apr 25, 2015
Licenses
46TA09075800 (NJ)
007426-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
199 BERGEN TPKE APT 3L
RIDGEFIELD PARK, NJ, 076602342
Browse NJ providers · Browse ZIP 07660
Phone
2016414832
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in RIDGEFIELD PARK, NJ

Name Credential NPI
KAREN ZULETA COTA/L 1023891660
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.