Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN RAFAEL FERNANDEZ GRULLON
ActiveEDWIN RAFAEL FERNANDEZ GRULLON is a Occupational Therapy Assistant healthcare provider located in BAYONNE, New Jersey. NPI 1912469321 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BAYONNE, NJ
Registration Details
- NPI Number
- 1912469321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2019 (7.322737881354 yrs)
- Last Updated
- Apr 4, 2019
- License
-
46TA09163500 (NJ)
Practice Information
- Address
-
47 BAYSIDE DRBAYONNE, NJ, 070021278Browse NJ providers · Browse ZIP 07002
- Phone
- 2392986665
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BAYONNE, NJ
| Name | Credential | NPI |
|---|---|---|
| PAOLO J DE LEON | COTA | 1962681973 |
| MARIAM IBRAHIM | COTA | 1134660939 |
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.