Organization
EMPOWERED LEARNING CENTER OF MONMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA M JONES (OFFICE MANAGER)
(732) 380-7287
Entity
Organization
Contact information
Practice address
615 HOPE RD, BLDG. 5B, EATONTOWN, NJ 07724-1277
(732) 380-7287
(732) 380-7289
Mailing address
615 HOPE RD, BLDG. 5B, 1ST FLOOR, EATONTOWN, NJ 07724-1277
(732) 380-7287
(732) 380-7289
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
MA027605
NJ
225X00000X
Occupational Therapist
46TR00469400
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00174300
NJ
Other
Enumeration date
05/22/2007
Last updated
07/17/2008
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