Individual
MRS. SMITHA OOMMEN D'CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 SAGAMORE RD, MILLBURN, NJ 07041-2153
(718) 698-6721
Mailing address
72 SAGAMORE RD, MILLBURN, NJ 07041-2153
(718) 698-6721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005545-1
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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