Individual
MICHELLE ANNE SERVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00820200
NJ
Other
Enumeration date
10/16/2018
Last updated
12/18/2020
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