Organization
COMMUNITY & HOME INDEPENDENCE PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN BUCOLO (OWNER, OCCUPATIONAL THERAPIST)
(856) 316-8624
Entity
Organization
Contact information
Practice address
106 AKRON AVE, HADDON TOWNSHIP, NJ 08108-2408
(856) 316-8624
Mailing address
106 AKRON AVE, HADDON TOWNSHIP, NJ 08108-2408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
11/13/2023
Last updated
03/11/2024
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