| NPI | 1205060589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR WANG Director 201-722-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00322900) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09005200) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00016700) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00035200) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00480300) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00474300) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00541700) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |