Individual
AMY GROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 VREELAND AVE, NUTLEY, NJ 07110-1546
(973) 356-1904
Mailing address
255 VREELAND AVE, NUTLEY, NJ 07110-1546
(973) 356-1904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09092100
NJ
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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