Individual
ERICKA MARIE HALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ROUTE 34, MATAWAN, NJ 07747-3050
(732) 566-6400
Mailing address
625 ROUTE 34, MATAWAN, NJ 07747-3050
(732) 566-6400
(732) 583-2483
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09162500
NJ
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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