Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL LANGELL OTR/L (OWNER)
(201) 988-6894
Entity
Organization
Contact information
Practice address
151 OLD FORGE RD, MILLINGTON, NJ 07946-1512
(201) 988-6894
Mailing address
151 OLD FORGE RD, MILLINGTON, NJ 07946-1512
(201) 988-6894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/21/2019
Last updated
12/23/2019
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