| NPI | 1861027807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRENDA ZABALETA Occupational Therapist 201-966-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-04-23 |