Individual
MRS. MALLORY BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1 BRIDGE AVE, APT. 210, RED BANK, NJ 07701-1534
(908) 783-1510
Mailing address
1 BRIDGE AVE, APT. 210, RED BANK, NJ 07701-1534
(908) 783-1510
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00549000
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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