Provider Demographics
NPI:1639589617
Name:ARCETA, EULOGIO JR (OTR/L)
Entity Type:Individual
Prefix:
First Name:EULOGIO JR
Middle Name:
Last Name:ARCETA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1303
Mailing Address - Country:US
Mailing Address - Phone:973-837-6402
Mailing Address - Fax:
Practice Address - Street 1:290 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1303
Practice Address - Country:US
Practice Address - Phone:973-837-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY46TR00660400225X00000X
NJ46TR00660400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist