Individual
REBECCA LESLIE COTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6 PROSPECT ST STE 3C, MIDLAND PARK, NJ 07432-1634
(201) 347-3943
Mailing address
6 PROSPECT ST STE 3C, MIDLAND PARK, NJ 07432-1634
(201) 347-3943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00069900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035004
NATIONAL BOARD CERTIFICATION IN OT
MD
01
—
46TR00069900
STATE LICENSURE
NJ
Enumeration date
09/12/2022
Last updated
09/12/2022
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