Individual
BETHEL QUEROL-WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 CLIFTON AVE, CLIFTON, NJ 07013-3619
(973) 246-6565
Mailing address
1070 CLIFTON AVE, CLIFTON, NJ 07013-3619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00436200
NJ
Other
Enumeration date
07/26/2011
Last updated
06/27/2014
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