Individual
GEORGE NICHOLAS VENEZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
103 FRANKLIN AVE, KEANSBURG, NJ 07734-3145
(732) 769-2447
Mailing address
103 FRANKLIN AVE, KEANSBURG, NJ 07734-3145
(732) 769-2447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0086791
NY
Other
Enumeration date
11/06/2006
Last updated
10/31/2008
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