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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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