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Organization

MY THERAPY CLUBHOUSE

Active
Find providers by NPI
Organization

MY THERAPY CLUBHOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAIGA HAGER OTR/L (OWNER)
(732) 644-6643
Entity
Organization

Contact information

Practice address
140 BROOK AVE, PASSAIC, NJ 07055-4440
(732) 644-6643
Mailing address
140 BROOK AVE, PASSAIC, NJ 07055-4440
(732) 644-6643

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124785209
INSURANCE
05
1124785209
NJ
Enumeration date
03/01/2023
Last updated
03/01/2023
Update your record

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