Individual
LISA AMAQUANDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MOHAWK LN, ABSECON, NJ 08201-1931
(609) 277-5085
Mailing address
117 MOHAWK LN, ABSECON, NJ 08201-1931
(609) 277-5085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TOC103781
PA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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