Individual
MRS. DELMA N PUNZALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATE
Contact information
Practice address
75 JEFFERSON TER, SPRINGFIELD, NJ 07081-3409
(336) 624-4905
Mailing address
75 JEFFERSON TER, SPRINGFIELD, NJ 07081-3409
(336) 624-4905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
407061
NJ
224Z00000X
Occupational Therapy Assistant
Primary
46TA9192000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P93121617561811
DRIVERS LIC
NJ
Enumeration date
10/15/2019
Last updated
04/13/2021
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