Individual
EVELYN C CODISPOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 5TH AVE UNIT 105, BELMAR, NJ 07719-2162
(848) 371-0582
Mailing address
616 5TH AVE UNIT 105, BELMAR, NJ 07719-2162
(848) 371-0582
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR01295500
NJ
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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