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Individual

MS. HEATHER JANE MOULTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
101 CEDAR GROVE LN, SUITE C, SOMERSET, NJ 08873-4700
(732) 356-5363
(732) 356-5364
Mailing address
1065 WOODLAND AVE, PLAINFIELD, NJ 07060-3157
(908) 561-6570
(908) 755-3329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00116800
NJ

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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