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Individual

FREDERICK HART III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT, OTR/L

Contact information

Practice address
1934 BURLINGTON-MT. HOLLY ROAD SUITE A, WESTAMPTON, NJ 08060
(609) 261-4330
(609) 261-4490
Mailing address
923 LINWOOD AVE APT A, COLLINGSWOOD, NJ 08108-3214
(215) 873-5570

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00815500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46TR00815500
OCCUPATIONAL THERAPIST LICENSE
NJ
01
OC012729
OCCUPATIONAL THERAPIST LICENSE
PA
Enumeration date
04/09/2018
Last updated
04/09/2018
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