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1487775029
WISLY PAUL
NEWARK, NJ
NPI
1487775029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NJ 46TR00400900)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Mr. WISLY PAUL OT
65 BERGEN ST
NEWARK, NJ 07107-3001
Phone number: 973-972-0186
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Mailing Address
Mr. WISLY PAUL OT
9 VARSITY RD
NEWARK, NJ 07106-2918
Phone number: 973-769-4147
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