Individual
PETER JOHN OWSIANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A./L
Contact information
Practice address
125 SAMUEL CT, LINCROFT, NJ 07738-1407
(732) 345-0191
Mailing address
125 SAMUEL CT, LINCROFT, NJ 07738-1407
(732) 345-0191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TAO9039600
NJ
Other
Enumeration date
02/01/2009
Last updated
02/01/2009
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