Organization
T.E.A.M. 4 KIDS NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA KANOVSKY OT (DIRECTOR)
(646) 302-9624
Entity
Organization
Contact information
Practice address
300 KNICKERBOCKER RD STE 3600, CRESSKILL, NJ 07626-1349
(201) 208-2240
Mailing address
300 KNICKERBOCKER RD STE 3600, CRESSKILL, NJ 07626-1349
(201) 208-2240
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/21/2021
Last updated
04/05/2023
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