Individual provider · NPI-1

Valerie Kampo, COTA/L

Occupational Therapy Assistant · Newark, NJ

NPI number1780412841
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1780412841
Entity type
Individual (NPI-1)
Name
Valerie Kampo
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2024
Certification date
Jul 22, 2024
Last updated
Jul 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant46TA09241200NJYes

Practice location

570 Broad St Ste 502
Newark, NJ 07102-4559

Phone 833-587-1784

Mailing address

5 Lakeview Trl
Denville, NJ 07834-1511

Phone 973-896-0222

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