| NPI | 1487161295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINA KOTERBA Occupational Therapist 973-223-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 46TR00337600) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-03-17 |