DIANE MODICA

CLIFTON, NJ
NPI1134287063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00190911)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
(Licence:   9209001871)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Mrs. DIANE MODICA MS OTR CHT
1373 BROAD STREET SUITE 302
CLIFTON, NJ 07013
Phone number: 973-773-4263
Mailing Address
Mrs. DIANE MODICA MS OTR CHT
72 WHITFORD AVENUE
NUTLEY, NJ 07110
Phone number: 973-542-1450