Individual
TIMOTHY DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1119 BROAD ST, NEWARK, NJ 07114-2501
(929) 333-0882
(973) 732-3981
Mailing address
61 NANCE RD, WEST ORANGE, NJ 07052-1630
(973) 900-1902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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