Individual
MS. ELAINE FONDILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
24 BOOKER ST, WESTWOOD, NJ 07675-2632
(201) 822-0100
Mailing address
24 BOOKER STREET, WESTWOOD, NJ 07675-2619
(201) 822-0100
(201) 822-0107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR0088300
NJ
Other
Enumeration date
12/28/2006
Last updated
04/22/2016
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