Provider Demographics
| NPI: | 1871854117 |
|---|---|
| Name: | ZAMBITO, CATHERINE A (COTA) |
| Entity type: | Individual |
| Prefix: | MISS |
| First Name: | CATHERINE |
| Middle Name: | A |
| Last Name: | ZAMBITO |
| Suffix: | |
| Gender: | F |
| Credentials: | COTA |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 1600 SAINT GEORGES AVE |
| Mailing Address - Street 2: | 107 |
| Mailing Address - City: | RAHWAY |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07065-2764 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 732-428-5566 |
| Mailing Address - Fax: | 732-428-5513 |
| Practice Address - Street 1: | 1600 SAINT GEORGES AVE |
| Practice Address - Street 2: | 107 |
| Practice Address - City: | RAHWAY |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07065-2764 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 732-428-5566 |
| Practice Address - Fax: | 732-428-5513 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2012-06-04 |
| Last Update Date: | 2012-06-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | 46TA09003700 | 224Z00000X, 224ZE0001X, 224ZF0002X, 224ZL0004X, 224ZR0403X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | |
| No | 224ZE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Environmental Modification |
| No | 224ZF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Feeding, Eating & Swallowing |
| No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision |
| No | 224ZR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Driving and Community Mobility |