| NPI | 1053707778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA D'ANDREA Director Of Compliance 609-397-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0000489) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |