Individual
MARIBEL VILLACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
111 61ST ST APT 3, WEST NEW YORK, NJ 07093-2941
(718) 532-6081
Mailing address
204 S 5TH ST, ELIZABETH, NJ 07206-1007
(718) 532-6081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
01/10/2020
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