| |
1 Caroline Ct, Pilesgrove, NJ 08098-2741 | |
(856) 769-1049 | |
(856) 769-1049 |
Full Name | |
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Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 1 Caroline Ct, Pilesgrove, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619100435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 46TR001115 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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111 S Broadway, Suite A, Pennsville, NJ 08070-2038 Ph: (856) 678-4701 | 1 Caroline Ct, Pilesgrove, NJ 08098-2741 Ph: (856) 769-1049 |