Individual
NICOLE FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
22 AUTUMN AVE, CLARK, NJ 07066-1921
(098) 472-6221
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020986
NY
Other
Enumeration date
11/04/2016
Last updated
06/29/2017
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