Provider Demographics
NPI:1831855196
Name:NARDI, ARIANA MARIE (OTR/L)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:MARIE
Last Name:NARDI
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 1:90 DEPTFORD CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1860
Mailing Address - Country:US
Mailing Address - Phone:732-546-1648
Mailing Address - Fax:
Practice Address - Street 1:170 AVENUE AT THE CMN STE 1
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4568
Practice Address - Country:US
Practice Address - Phone:732-546-1648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01017700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist