Individual
MEGAL PATTERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
388 LAKESIDE AVE, ORANGE, NJ 07050-2816
(321) 946-5697
Mailing address
388 LAKESIDE AVE, ORANGE, NJ 07050-2816
(321) 946-5697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009179-1
NY
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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