Individual
SUSAN FACTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
190 MILL ST, WESTWOOD, NJ 07675-2845
(201) 664-3571
Mailing address
190 MILL ST, WESTWOOD, NJ 07675-2845
(201) 664-3571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA09039400
NJ
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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