IndividualActive
Mario Viegas
NPI 1417806803 · Driving and Community Mobility Occupational Therapy Assistant · Randolph, NJ
Provider details
- NPI number
- 1417806803
- Entity type
- Individual
- Primary specialty
- Driving and Community Mobility Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- V41595198204751 (NJ)
Mailing address
9 Jacob Way
Phillipsburg, NJ 08865-2130
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.