| Doctor Name: | MRS. ANGELA MARIE FENNELLY |
| NPI Number: | 1144358227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 46TR00386200 |
| Business Practice Address: | 300 Market St Saddle Brook, NJ - 076635309 |
| Business Phone Number: | 2013686117 |
| Business Fax Number: | |
| Mailing Address: | 241 Kearny Ave, Apt. 6 KEARNY |
| State: | NJ |
| Postal Code: | 070322525 |
| Phone Number: | 2013901536 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 46TR00386200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |