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1972262608
ALLIZEY SHIELDS
FORKED RIVER, NJ
NPI
1972262608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR01031500)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
ALLIZEY SHIELDS OTR
424 S MAIN ST
FORKED RIVER, NJ 08731-4654
Phone number: 732-887-5207
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Mailing Address
ALLIZEY SHIELDS OTR
3 BERKELEY PL
EATONTOWN, NJ 07724-2535
Phone number:
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