Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WOOTTON RD, ESSEX FELLS, NJ 07021-1116
(973) 479-0915
Mailing address
3 WOOTTON RD, ESSEX FELLS, NJ 07021-1116
(973) 479-0915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00314000
NJ
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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