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Organization
THEAPEUTIC OUTREACH FOR CHILDREN, INC
Active
Organization
THEAPEUTIC OUTREACH FOR CHILDREN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MULLIGAN (EXECUTIVE DIRECTOR)
(609) 490-0592
Entity
Organization
Contact information
Practice address
1 FARM LN, ROOSEVELT, NJ 08555-9800
(609) 490-0592
Mailing address
PO BOX 458, ROOSEVELT, NJ 08555-0458
(609) 490-0592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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