Individual provider · Type 1 NPI
Breanna Ciardullo, OTD
Occupational Therapist · Fair Haven, NJ
Practice location
21 Cedar Ave Ste B1
Fair Haven, NJ 07704-3264
Mailing address
154 Madison Ave
Valhalla, NY 10595-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 46TR01209100 (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…
About NPI 1952299455
Breanna Ciardullo, OTD's National Provider Identifier is 1952299455, issued on Jun 25, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fair Haven, NJ. The record was last updated on Jun 25, 2025.