| NPI | 1649457045 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TATYANA KOMAR Occupational Therapist 856-616-2385  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00097700)  | 
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2021-11-01 |