Individual
ROBERT PASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 FAIRMOUNT DR, SICKLERVILLE, NJ 08081-4033
(609) 320-2314
Mailing address
29 FAIRMOUNT DR, SICKLERVILLE, NJ 08081-4033
(609) 320-2314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC011607
PA
225X00000X
Occupational Therapist
Primary
OT60319808
WA
Other
Enumeration date
01/06/2011
Last updated
12/21/2012
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