Individual
PAMELA SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
672 COMMONS WAY, TOMS RIVER, NJ 08755-6431
(732) 240-5576
Mailing address
1887 MERRIMAC DR, TOMS RIVER, NJ 08753-3189
(732) 832-0385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00085400
LICENSE #
NJ
Enumeration date
08/20/2006
Last updated
07/08/2007
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