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Individual

MISS BRIELLE NICOLE HASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
679 WILLIAM BLISS DR, NEW MILFORD, NJ 07646-1462
(201) 638-6596
Mailing address
679 WILLIAM BLISS DR, NEW MILFORD, NJ 07646-1462
(201) 638-6596

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00696200
NJ

Other

Enumeration date
04/27/2015
Last updated
04/27/2015
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