Individual
MS. NICOLE MARIE LEPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
20 FEN CT, MADISON, NJ 07940-2317
(201) 602-7406
Mailing address
20 FEN CT, MADISON, NJ 07940-2317
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00426800
NJ
Other
Enumeration date
08/28/2007
Last updated
03/01/2013
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