Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDMOND BERNARD BOCK III, COTA/L
ActiveMR. EDMOND BERNARD BOCK III, COTA/L is a Occupational Therapy Assistant healthcare provider located in ATCO, New Jersey. NPI 1932221108 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ATCO, NJ
Registration Details
- NPI Number
- 1932221108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.327336565173 yrs)
- Last Updated
- Jun 7, 2009
- License
-
46TA09056000 (NJ)
Practice Information
- Address
-
190 LAKE DRATCO, NJ, 080043013Browse NJ providers · Browse ZIP 08004
- Phone
- 8562106231
- 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.