Individual
MISS PRINCESS KEANNE O PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1616 HAMILTON ST, BELLEVILLE, NJ 07109-5346
(856) 506-6281
Mailing address
1616 HAMILTON ST, BELLEVILLE, NJ 07109-5346
(856) 506-6281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09135300
NJ
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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