Individual
ALYSSA HERTZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
44 WESTGATE RD, APT C, TEANECK, NJ 07666-5025
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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