Individual
MS. SUSAN MARIE NELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 TOWN BANK RD, N CAPE MAY, NJ 08204-4411
(609) 898-8899
Mailing address
3910 BAYSHORE RD APT I2, N CAPE MAY, NJ 08204-3627
(609) 898-8899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09061200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TA09061200
LICENSE
NJ
Enumeration date
03/21/2007
Last updated
07/08/2007
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