Individual
KATHLEEN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
7 GABRIEL DR, MONTVILLE, NJ 07045-9589
(201) 681-0607
Mailing address
7 GABRIEL DR, MONTVILLE, NJ 07045-9589
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00378600
NJ
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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