Individual
ASHA H SURTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 BYRON PL, CLIFTON, NJ 07011-3810
(201) 988-4489
Mailing address
14 BYRON PL, CLIFTON, NJ 07011-3810
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016180
NY
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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