Individual
KATHERINE MARIE DE SANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1616 HAMILTON ST, BELLEVILLE, NJ 07109-5346
(856) 506-6281
(862) 762-2998
Mailing address
608 JEFFERSON AVE, ELIZABETH, NJ 07201-1204
(917) 200-7895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09221400
NJ
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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