PATRA VONGSOASUP

FLORHAM PARK, NJ
NPI1265839526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies283X00000X Rehabilitation Hospital
(Licence: NJ  46TR00670500)
Enumeration Date2014-12-01
Last Update Date2022-03-02
Business Address
PATRA VONGSOASUP
140 PARK AVE
FLORHAM PARK, NJ 07932-1049
Phone number: 973-404-9840
Mailing Address
PATRA VONGSOASUP
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922-2104
Phone number: 908-273-4300