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Individual

KEIRA F BAHETI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 EAGLE ROCK AVENUE, SUTIE 201, EAST HANOVER, NJ 07936
(973) 887-9000
Mailing address
11 EAGLE ROCK AVENUE, SUTIE 201, EAST HANOVER, NJ 07936
(973) 887-9000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00472500
NJ

Other

Enumeration date
01/15/2009
Last updated
01/15/2009
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