STACEY MICHELE COLE-LARSON

ENGLEWOOD, NJ
NPI1750855789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09025000)
Enumeration Date2019-01-12
Last Update Date2019-01-12
Business Address
Ms. STACEY MICHELE COLE-LARSON COTA/L
175 W HUDSON AVE
ENGLEWOOD, NJ 07631-1609
Phone number: 201-871-8882
Mailing Address
Ms. STACEY MICHELE COLE-LARSON COTA/L
61 FRANKLIN ST
TENAFLY, NJ 07670-2006
Phone number:
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