Individual provider · Type 1 NPI

Renee L. Bolduc, COTA/L

Occupational Therapy Assistant · Ridgefield Park, NJ

NPI number 1790984136 Active

Practice location

199 Bergen Tpke Apt 3L
Ridgefield Park, NJ 07660-2342

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X46TA09075800 (NJ)
Occupational Therapy Assistant 224Z00000X007426-1 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1790984136

Renee L. Bolduc, COTA/L's National Provider Identifier is 1790984136, issued on Jul 16, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ridgefield Park, NJ. The record was last updated on Apr 25, 2015.