Individual
DENVER DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 PAVONIA AVE, JERSEY CITY, NJ 07306-1803
(888) 560-5995
Mailing address
38 VALLEY RD, CLIFTON, NJ 07013-1030
(201) 790-8467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09118300
NJ
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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