Individual
KIMBERLY SUSAN AIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
17 CREST DR, MIDLAND PARK, NJ 07432-1312
(201) 410-1756
Mailing address
17 CREST DR, MIDLAND PARK, NJ 07432-1312
(201) 280-1739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00401700
NJ
Other
Enumeration date
03/18/2019
Last updated
09/30/2019
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