Individual
SCRETA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E MAIN ST, MOORESTOWN, NJ 08057-2982
(856) 222-0248
Mailing address
384 BISHOP ST, BROWNS MILLS, NJ 08015-6813
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00711300
NJ
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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