Provider Demographics
NPI:1467994640
Name:BIEDERMANN, ANNE O'MARA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:O'MARA
Last Name:BIEDERMANN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2725
Mailing Address - Country:US
Mailing Address - Phone:973-377-7494
Mailing Address - Fax:
Practice Address - Street 1:154 S LIVINGSTON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3017
Practice Address - Country:US
Practice Address - Phone:973-535-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00720000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics