Individual
RACHEL N LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
579 CRANBURY RD, EAST BRUNSWICK, NJ 08816-5405
(732) 313-5458
Mailing address
579 CRANBURY RD, EAST BRUNSWICK, NJ 08816-5405
(732) 313-5458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00694400
NJ
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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