Individual
STEPHANIE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Mailing address
401 SEMINO RD, NORTHVALE, NJ 07647-1210
(201) 835-2323
(201) 564-7514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01210000
NJ
Other
Enumeration date
10/23/2024
Last updated
10/24/2024
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