Individual
MR. JULIUS IRATAGOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/CKTP
Contact information
Practice address
0-53 26TH ST, FAIR LAWN, NJ 07410
(201) 674-1680
Mailing address
0-53 26TH ST, FAIR LAWN, NJ 07410
(201) 674-1680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00415000
NJ
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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