Individual
MRS. RENUKA THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
54 SHARP ST, MILLVILLE, NJ 08332-2444
(856) 327-2700
Mailing address
3598 LINDSEY ROAD, VINELAND, NJ 08361
(856) 293-1970
(856) 293-1970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00350600
NJ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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