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1003054883
PETER JOHN OWSIANIK
LINCROFT, NJ
NPI
1003054883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46tao9039600)
Enumeration Date
2009-02-01
Last Update Date
2009-02-01
Business Address
-- PETER JOHN OWSIANIK c.o.t.a./l
125 SAMUEL CT
LINCROFT, NJ 07738-1407
Phone number: 732-345-0191
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Mailing Address
-- PETER JOHN OWSIANIK c.o.t.a./l
125 SAMUEL CT
LINCROFT, NJ 07738-1407
Phone number: 732-345-0191
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