Organization
SPROUTS OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUSAN AIELLO MSOT (OCCUPATIONAL THERAPIST)
(201) 252-7070
Entity
Organization
Contact information
Practice address
17 CREST DR, MIDLAND PARK, NJ 07432-1312
(201) 280-1739
Mailing address
17 CREST DR, MIDLAND PARK, NJ 07432-1312
(201) 252-7070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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