Provider Demographics
NPI:1679643357
Name:COTE, CAROL N (PT, CCTT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:N
Last Name:COTE
Suffix:
Gender:F
Credentials:PT, CCTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 SCHOOLEYS MOUNTAIN RD STE 3B
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4002
Mailing Address - Country:US
Mailing Address - Phone:908-852-7575
Mailing Address - Fax:908-852-9083
Practice Address - Street 1:490 SCHOOLEYS MOUNTAIN RD STE 3B
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4002
Practice Address - Country:US
Practice Address - Phone:908-852-7575
Practice Address - Fax:908-852-9083
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00330800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ032084NMNMedicare PIN