Individual provider · Type 1 NPI

Mariola Magdalena Antolak, OTR/L

Occupational Therapist · West Orange, NJ

NPI number 1689192304 Active

Practice location

563 Northfield Ave
West Orange, NJ 07052-2426

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR00792900 (NJ)

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 1689192304

Mariola Magdalena Antolak, OTR/L's National Provider Identifier is 1689192304, issued on Sep 1, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Orange, NJ. The record was last updated on Sep 23, 2017.