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Individual
MRS. JULISSA FEDERICO
Active
Individual
MRS. JULISSA FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00463600
NJ
Other
Enumeration date
08/01/2006
Last updated
05/15/2015
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