Individual
MR. ALDWIN MIRASOL CABANTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1 DOWNS DR, SAYREVILLE, NJ 08872-2170
(164) 664-1808
Mailing address
1 DOWNS DR, SAYREVILLE, NJ 08872-2170
(164) 664-1808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00439700
NJ
Other
Enumeration date
09/11/2018
Last updated
04/08/2021
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