Individual
LADY CYNTHIA S PATIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-4323
(201) 848-4259
Mailing address
93 MOUNT PLEASANT AVE, WEST PATERSON, NJ 07424-2837
(973) 610-9492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR002192
NJ
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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