Individual
MR. GEORGE MWANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12-45 RIVER RD # 317, FAIR LAWN, NJ 07410-1812
(862) 684-1789
(201) 797-0410
Mailing address
12-45 RIVER RD # 317, FAIR LAWN, NJ 07410-1812
(862) 684-1789
(201) 797-0410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009765-1
NY
225X00000X
Occupational Therapist
46TR00076600
NJ
Other
Enumeration date
07/11/2006
Last updated
12/07/2023
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