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Organization
WILL'S POWER LLC
Active
Organization
WILL'S POWER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTIN LOVALLO (CLINICAL DIRECTOR)
(201) 563-2959
Entity
Organization
Contact information
Practice address
368 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1513
(201) 563-2959
Mailing address
368 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1513
(201) 563-2959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
OUT OF NETWORK
—
Enumeration date
10/01/2021
Last updated
09/28/2022
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