Individual
MICHELLE M LODATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3 ST. JOSEPH'S TERRACE, WOODBRIDGE, NJ 07095
(732) 750-0077
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00361400
NJ
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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