Individual
REBECCA ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
(973) 239-9300
Mailing address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00648100
NJ
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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