NPI 1023573169

Evince Edouard, COTA

Practitioner Occupational Therapy Assistant Rockleigh, NJ

Practice location

Address: 10 Link Dr, Rockleigh, NJ 07647-2504
Phone: (201) 784-1414
Mailing address: 744 Elm Ave APT 5b, Teaneck, NJ 07666-2331

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09147700 (NJ)

Other Occupational Therapy Assistant providers in New Jersey →

Registry record

NPI: 1023573169
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2019
Record last updated: 14 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.