Individual
PENINA BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1135 BROAD ST, CLIFTON, NJ 07013-3346
(973) 574-8585
Mailing address
25 AMSTERDAM AVE, PASSAIC, NJ 07055-3308
(862) 591-4056
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
46TR01200500
NJ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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