Individual
FRUMA ORDENTLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3932
(732) 813-4263
Mailing address
23 SHAYAS RD BSMT, LAKEWOOD, NJ 08701-5564
(347) 469-3703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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