Individual
NICOLE BESHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 NORTHGATE, WANAQUE, NJ 07465-1632
(201) 317-5226
Mailing address
35 NORTHGATE, WANAQUE, NJ 07465-1632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017390-1
NY
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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