SAMANTHA LYNNE MANGRAVITO

NUTLEY, NJ
NPI1427538180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00841400)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
SAMANTHA LYNNE MANGRAVITO
74 HASTINGS AVE
NUTLEY, NJ 07110-2578
Phone number: 862-262-3394
Mailing Address
SAMANTHA LYNNE MANGRAVITO
74 HASTINGS AVE
NUTLEY, NJ 07110-2578
Phone number: 862-262-3394