Individual
MR. FREDERICK MICHAEL DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
125 MUNROE AVE, W KEANSBURG, NJ 07734-3027
(732) 495-4595
Mailing address
125 MUNRO AVE, W KEANSBURG, NJ 07734-3027
(732) 495-4595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NJ
Other
Enumeration date
05/23/2006
Last updated
07/26/2007
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