Individual
INESSA SODEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
44 NAUTILUS DR, MANAHAWKIN, NJ 08050-2466
(609) 978-1001
Mailing address
44 NAUTILUS DR, MANAHAWKIN, NJ 08050-2466
(609) 978-1001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00546500
NJ
225XH1200X
Hand Occupational Therapist
46TR00546500
NJ
Other
Enumeration date
04/06/2011
Last updated
01/20/2021
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