Organization
THERAQUATICS
Active
Organization
THERAQUATICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVORAH WILSCHANSKI (OT)
(732) 600-7454
Entity
Organization
Contact information
Practice address
1398 FOREST AVE, LAKEWOOD, NJ 08701-1770
(732) 600-7454
Mailing address
1398 FOREST AVE, LAKEWOOD, NJ 08701-1770
(732) 600-7454
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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