Individual
NITCHELLE PREDVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
303 ROCK AVE, GREEN BROOK, NJ 08812-2616
(732) 968-5500
Mailing address
830 S MAIN ST, MANVILLE, NJ 08835-2551
(908) 267-8565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022023-1
NY
225X00000X
Occupational Therapist
46T00819600
NJ
225X00000X
Occupational Therapist
Primary
OT009124
GA
Other
Enumeration date
01/23/2018
Last updated
06/28/2024
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