LIDA EUDALY FERNANDEZ

ELIZABETH, NJ
NPI1750922837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00354400)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
LIDA EUDALY FERNANDEZ OT
329 VINE ST
ELIZABETH, NJ 07202-1817
Phone number: 908-906-0978
Mailing Address
LIDA EUDALY FERNANDEZ OT
329 VINE ST
ELIZABETH, NJ 07202-1817
Phone number: 908-906-0978
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