Individual
KASSANDRA SOLDEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
1 WASHINGTON AVE BLDG 6-1A, MORRISTOWN, NJ 07960-4331
(609) 980-7659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00874000
NJ
225XH1200X
Hand Occupational Therapist
Primary
46TR00874000
NJ
Other
Enumeration date
04/20/2019
Last updated
02/10/2025
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