Individual
SHRUTI BAUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SOMERSET ST APT 463, HARRISON, NJ 07029-2353
(973) 239-9300
Mailing address
300 SOMERSET ST APT 463, HARRISON, NJ 07029-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00606700
NJ
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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