Individual
THERESE G DADEZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
(732) 876-4967
Mailing address
1196 FOSTER TER, SOUTH PLAINFIELD, NJ 07080-1749
(908) 405-6973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01016500
NJ
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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