Provider Demographics
NPI:1487653143
Name:FRANKLIN-COSGROVE, STEPHANIE (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:FRANKLIN-COSGROVE
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BOOKER STREET
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2619
Mailing Address - Country:US
Mailing Address - Phone:201-822-0100
Mailing Address - Fax:201-822-0107
Practice Address - Street 1:24 BOOKER STREET
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2619
Practice Address - Country:US
Practice Address - Phone:201-822-0100
Practice Address - Fax:201-822-0107
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTR001267225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBS668OtherOXFORD
NJ101492700OtherACS-US DEPT OF LABOR
NJ2788071OtherAETNA
NJ4454961OtherAETNA 2
NJJ23433OtherACS
NJ5589123OtherCIGNA
NJBS668OtherOXFORD
NJ5589123OtherCIGNA