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Individual provider · Pediatric Occupational Therapist · Edison, NJ

NPI

1275381659

Type

Individual (Type 1)

Primary specialty

Pediatric Occupational Therapist (Occupational Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225XP0200X

License number

46TR01157100 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2024-05-09

Last updated

2024-05-09