Individual
MR. ISRAEL FROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. OTR-L
Contact information
Practice address
1387 MILFORD TER, TEANECK, NJ 07666-2146
(201) 836-4791
Mailing address
1387 MILFORD TER, TEANECK, NJ 07666-2146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007313-1
NY
225X00000X
Occupational Therapist
Primary
46TR00259900
NJ
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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