Individual
KATHLEEN JADE SALES MALASIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 SICOMAC AVE, WYCOFF, NJ 07481
(201) 848-5200
Mailing address
1 CARRIAGE COURT, POMPTON PLAINS, NJ 07444
(862) 448-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00824300
NJ
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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