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Organization

IMAGINE OCCUPATIONAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAVINIA EUGENE OTR/L (OCCUPATIONAL THERAPIST)
(201) 407-0907
Entity
Organization

Contact information

Practice address
378 WASHINGTON AVE, RUTHERFORD, NJ 07070-1042
(201) 407-0907
Mailing address
378 WASHINGTON AVE, RUTHERFORD, NJ 07070-1042

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
02/24/2026
Last updated
02/24/2026
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