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Organization
OCEAN THERAPY GROUP
Active
Organization
OCEAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKA HERSKO SLP (OWNER)
(732) 987-5106
Entity
Organization
Contact information
Practice address
129 MELISSA CT, LAKEWOOD, NJ 08701-5848
(732) 987-5106
(732) 749-1661
Mailing address
129 MELISSA CT, LAKEWOOD, NJ 08701-5848
(732) 987-5106
(732) 749-1661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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