Individual
KEVIN MUKALEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
563 NORTHFIELD AVE, WEST ORANGE, NJ 07052-2426
(973) 243-2060
Mailing address
2282 MORRISON AVE, UNION, NJ 07083-5249
(908) 313-4397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00752800
NJ
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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