Organization
BEACON PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA WILBERT OTR (OCCUPATIONAL THERAPIST/OWNER)
(732) 580-0719
Entity
Organization
Contact information
Practice address
2 HOLLYWOOD BLVD N STE 8, FORKED RIVER, NJ 08731-4842
(609) 200-1118
(866) 368-4449
Mailing address
504 CENTER ST, FORKED RIVER, NJ 08731-2338
(732) 580-0719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/09/2022
Last updated
09/28/2023
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