Individual
MS. ROBERTA SHAKUN DEVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
601 EWING ST, PRINCETON, NJ 08540-2757
(609) 731-9805
Mailing address
16 WILSON WAY N, PRINCETON JUNCTION, NJ 08550-2947
(609) 731-9805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00247400
NJ
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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