Individual
MRS. VALERIE LYNN NORTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2601 E EVESHAM RD, VOORHEES, NJ 08043-9509
(856) 596-1113
Mailing address
32 CHARTER OAK LN, MARLTON, NJ 08053-1040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09084700
NJ
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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