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Individual

AIDA E. MENDEZ-BOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
899 MOUNTAIN AVE STE 1A, SPRINGFIELD, NJ 07081-3403
(973) 218-6394
(973) 218-6351
Mailing address
899 MOUNTAIN AVE STE 1A, SPRINGFIELD, NJ 07081-3403
(973) 218-6394
(973) 218-6351

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA0009000100
NJ

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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