Individual
KELLY ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
10 FRANKLIN TPKE, MAHWAH, NJ 07430-1304
(973) 518-0361
Mailing address
1037 MACARTHUR BLVD UNIT 723, MAHWAH, NJ 07430-7065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09172000
NJ
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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