NPI 1043369184

Dawn Fasano-Hicks, COTA

Practitioner Occupational Therapy Assistant West Caldwell, NJ

Practice location

Address: 1129 Bloomfield Ave, West Caldwell, NJ 07006-7127
Phone: (973) 575-7576
Mailing address: 150 Gaston Ave, Garfield, NJ 07026-1208

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA09053900 (NJ)

Other Occupational Therapy Assistant providers in New Jersey →

Registry record

NPI: 1043369184
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2007
Record last updated: 8 Jul 2007

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.