ALYSSA JOY REQUILLO

BLOOMFIELD, NJ
NPI1043967888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR01029000)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NY  026357)
Enumeration Date2022-03-02
Last Update Date2022-03-02
Business Address
ALYSSA JOY REQUILLO
11 URMA PL
BLOOMFIELD, NJ 07003-3133
Phone number: 973-508-0205
Mailing Address
ALYSSA JOY REQUILLO
11 URMA PL
BLOOMFIELD, NJ 07003-3133
Phone number: 973-508-0205