Provider Demographics
NPI:1841471505
Name:OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Entity type:Organization
Organization Name:OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-267-6677
Mailing Address - Street 1:130 HANCOCK LANE
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060
Mailing Address - Country:US
Mailing Address - Phone:609-267-6677
Mailing Address - Fax:609-265-8418
Practice Address - Street 1:1003 LINCOLN DR W STE B
Practice Address - Street 2:GREENTREE EXECUTIVE CAMPUS
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1532
Practice Address - Country:US
Practice Address - Phone:856-334-8072
Practice Address - Fax:856-334-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224Z00000X, 225200000X
NJPT40QA00673900225100000X
NJ46TR00305100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty