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Individual
MRS. VIDHYA J MAMPILLY
Active
Individual
MRS. VIDHYA J MAMPILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00555500
NJ
Other
Enumeration date
09/04/2014
Last updated
09/02/2021
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