Individual
EJIROGHENE R OKIERUOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SPRUCE ST APT 2B, NEWARK, NJ 07108-3088
(973) 619-8081
Mailing address
123 SPRUCE ST APT 2B, NEWARK, NJ 07108-3088
(973) 619-8081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NJ
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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