MICHAEL HENRY LAKE

MONROE TOWNSHIP, NJ
NPI1427501113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00695100)
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
-- MICHAEL HENRY LAKE
1 DAVID BRAINERD DR
MONROE TOWNSHIP, NJ 08831-1927
Phone number: 732-521-6400
Mailing Address
-- MICHAEL HENRY LAKE
2403 CYPRESS LN
EAST BRUNSWICK, NJ 08816-5274
Phone number: 908-240-9242
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