Provider Demographics
NPI: | 1871854117 |
---|---|
Name: | ZAMBITO, CATHERINE A (COTA) |
Entity type: | Individual |
Prefix: | MISS |
First Name: | CATHERINE |
Middle Name: | A |
Last Name: | ZAMBITO |
Suffix: | |
Gender: | F |
Credentials: | COTA |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1600 SAINT GEORGES AVE |
Mailing Address - Street 2: | 107 |
Mailing Address - City: | RAHWAY |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07065-2764 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-428-5566 |
Mailing Address - Fax: | 732-428-5513 |
Practice Address - Street 1: | 1600 SAINT GEORGES AVE |
Practice Address - Street 2: | 107 |
Practice Address - City: | RAHWAY |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07065-2764 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-428-5566 |
Practice Address - Fax: | 732-428-5513 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2012-06-04 |
Last Update Date: | 2012-06-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 46TA09003700 | 224Z00000X, 224ZE0001X, 224ZF0002X, 224ZL0004X, 224ZR0403X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | |
No | 224ZE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Environmental Modification |
No | 224ZF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Feeding, Eating & Swallowing |
No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision |
No | 224ZR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Driving and Community Mobility |