LISA JEAN WALLACE

NORTH PLAINFIELD, NJ
NPI1396368064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09127800)
Enumeration Date2020-05-28
Last Update Date2020-05-28
Business Address
LISA JEAN WALLACE COTA
480 SOMERSET ST UNIT 1
NORTH PLAINFIELD, NJ 07060-4018
Phone number: 954-292-3295
Mailing Address
LISA JEAN WALLACE COTA
77 MADISON AVE
MORRISTOWN, NJ 07960-7330
Phone number: 973-540-9800
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