| NPI | 1417632563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LAURENCE CHERUBIN Licensed Occupational Therapist 862-888-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |