Individual
KATIE VANNUCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
752 BALTIC DR, BRICK, NJ 08723-4204
(800) 950-6066
Mailing address
752 BALTIC DR, BRICK, NJ 08723-4204
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09020300
NJ
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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