Individual
ELENA DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N PARK AVE, SHREWSBURY, NJ 07702-4413
(917) 406-0478
Mailing address
1120 REMSEN MILL RD, WALL TOWNSHIP, NJ 07753-7204
(845) 598-5999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT46YR00365900
NJ
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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