Individual
SAMANTHA LYNN CIESMELEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3349 ROUTE 138 STE A, WALL TOWNSHIP, NJ 07719-9671
(732) 280-6050
(732) 280-6056
Mailing address
3349 HIGHWAY 138 STE A, WALL TOWNSHIP, NJ 07719-9671
(732) 546-5733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00877900
NJ
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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