Individual
ETHAN ALVES VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
150 50TH AVE APT 2606, LONG ISLAND CITY, NY 11101-6092
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
030853
NY
225X00000X
Occupational Therapist
Primary
46TR01277900
NJ
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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