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Individual

MITCHEL JOHN GERAGHTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2402
(609) 978-0600
Mailing address
1018 SURF AVE, BEACHWOOD, NJ 08722-2326
(908) 415-7577

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01059600
NJ

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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