Individual
GEETANJALI MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 BUCKINGHAM RD, WEST ORANGE, NJ 07052-2729
(973) 758-4100
Mailing address
46 BUCKINGHAM RD, WEST ORANGE, NJ 07052-2729
(973) 758-4100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00232200
NJ
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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