Individual
PRECIOUS LAARNI BAUTISTA MANSILUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
822 N WOOD AVE STE 301, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Mailing address
822 N WOOD AVE STE 301, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00643700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00643700
NEW JERSEY STATE BOARD OF OCCUPATIONAL THERAPY
NJ
Enumeration date
02/11/2019
Last updated
02/11/2019
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