Individual
MARIA CYNTHIA INOCENCIO GOCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6627
Mailing address
136 W SIDE AVE, JERSEY CITY, NJ 07305-1317
(201) 805-4577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00054300
NJ
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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