Provider Demographics
NPI:1760681209
Name:CONTRERAS, MARIA ANTONIETA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANTONIETA
Last Name:CONTRERAS
Suffix:
Gender:F
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 1:101 DEWEY ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2305
Mailing Address - Country:US
Mailing Address - Phone:973-253-1078
Mailing Address - Fax:
Practice Address - Street 1:455 CECELIA AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-2822
Practice Address - Country:US
Practice Address - Phone:201-313-9483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00157200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist