Individual
LISA ASHLEY ZUCKERWISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
34 MARY ELLEN DR, EDISON, NJ 08820-1119
(908) 565-6812
Mailing address
34 MARY ELLEN DR, EDISON, NJ 08820-1119
(908) 565-6812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025428-01
NY
225X00000X
Occupational Therapist
46TR00979300
NJ
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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