| NPI | 1083294003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA L JANNICELLI PAMPANIN Director 973-865-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-22 |