Individual
SEQUITA SHONTAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 CARBON ST, PATERSON, NJ 07522-1231
(862) 297-1485
Mailing address
184 CARBON ST, PATERSON, NJ 07522-1231
(862) 297-1485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010796-01
NY
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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