NPI 1790984136

Renee L Bolduc, COTAL

Practitioner Occupational Therapy Assistant Ridgefield Park, NJ

Practice location

Address: 199 Bergen Tpke APT 3l, Ridgefield Park, NJ 07660-2342
Phone: (201) 641-4832

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09075800 (NJ)

Other Occupational Therapy Assistant providers in New Jersey →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 007426-1 (NY)

Registry record

NPI: 1790984136
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2007
Record last updated: 25 Apr 2015

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.