Pediatric Ot, Llc.

NPI 1205177995 - Occupational Therapist - 225X00000X

NPI Details
NPI 1205177995
Enumeration Date 03/06/2013
Last Updated 03/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AVIVA AVIVA
Position PRESIDENT
Phone (732) 363-1992
Fax
Practice Location
603 W COUNTY LINE RD
LAKEWOOD NJ, 08701-1216, US
Phone (732) 363-1992
Fax
Business Location
35 KEDMA DR
LAKEWOOD NJ, 08701-3576, US
Phone (732) 363-1992
Fax
Toxanomy
Taxonomy Code 225X00000X
License State
License Number
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According to our database, Pediatric Ot, Llc. NPI is 1205177995, taxonomy code is 225X00000X Pediatric Ot, Llc. physically located at 603 W County Line Rd, Lakewood NJ, 08701-1216. NPI Number 1033115704 has the healthcare provider type.

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1205177995 NPI number is provided on an as is basis without warranty of any kind. 1205177995 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Ot, Llc. are for informational purposes only.