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

Timothy De Guzman, OTA

Individual provider Occupational Therapy Assistant · NPI 1316553852

Timothy De Guzman, OTA is an Occupational Therapy Assistant in Newark, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1119 Broad St
Newark, NJ 07114-2501
Phone: (929) 333-0882
Fax: (973) 732-3981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1316553852
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address61 Nance Rd, West Orange, NJ 07052-1630

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