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Individual

SHIFRA GIBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
685 RIVER AVE, LAKEWOOD, NJ 08701-5228
(732) 364-3772
Mailing address
233 WOEHR AVE, LAKEWOOD, NJ 08701-3476
(732) 901-1858

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00301100
NJ

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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