Individual
CHERON DARLENE MILLER ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
333 ELMWOOD AVE, GENESIS REHAB SERVICES, MAPLEWOOD, NJ 07040-2491
(973) 313-2104
Mailing address
333 ELMWOOD AVE, GENESIS REHAB SERVICES, MAPLEWOOD, NJ 07040-2491
(973) 313-2104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00075100
NJ
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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