Individual
AMANDA LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
311 SPOTSWOOD ENGLISHTOWN RD, MONROE, NJ 08831-8627
(732) 251-5200
(732) 251-5227
Mailing address
17 BLAKE AVE UNIT 1, SOMERSET, NJ 08873-2002
(540) 339-1097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01195300
NJ
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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