Individual
HETASVI JAY DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BLOOMFIELD AVE, ISELIN, NJ 08830-2226
(732) 429-7743
Mailing address
170 BLOOMFIELD AVE, ISELIN, NJ 08830-2226
(732) 429-7743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TRO1035000
NJ
Other
Enumeration date
12/05/2021
Last updated
04/01/2022
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