Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Milisenth Reynoso

Individual provider Occupational Therapy Assistant · NPI 1780350306

Milisenth Reynoso is an Occupational Therapy Assistant in Fair Lawn, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

13-03 Columbia St
Fair Lawn, NJ 07410-2054
Phone: (201) 218-3571
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 010666 (NY)

Record details

NPI number1780350306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address13-03 Columbia St, Fair Lawn, NJ 07410-2054

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