Individual provider · Type 1 NPI

Gloria Ann Provenzano

Occupational Therapist · Bridgewater, NJ

NPI number 1386299196 Active

Practice location

872 E Main St
Bridgewater, NJ 08807-3395

Call (877) 407-3422 Map

Fax (877) 407-4329

Mailing address

7 Carnegie Plz
Cherry Hill, NJ 08003-1000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1386299196

Gloria Ann Provenzano's National Provider Identifier is 1386299196, issued on Aug 8, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bridgewater, NJ. The record was last updated on Aug 8, 2019.