Organization
RISHA PORTOWICZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHA PORTOWICZ OT (OWNER)
(917) 453-1119
Entity
Organization
Contact information
Practice address
750 FOREST AVE APT 46F, LAKEWOOD, NJ 08701-2741
(917) 453-1119
Mailing address
750 FOREST AVE APT 46F, LAKEWOOD, NJ 08701-2741
(917) 453-1119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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