Individual
DEIDRE L LIMONGELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5 ROOSEVELT AVE STE A, CHATHAM, NJ 07928-2572
(973) 507-9730
Mailing address
5 ROOSEVELT AVE STE A, CHATHAM, NJ 07928-2572
(973) 507-9730
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00723000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790037463
KRISTEN CLARK
NJ
Enumeration date
02/08/2018
Last updated
02/08/2018
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