Organization
LIFE FUN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE JOAN MORA OT (OWNER)
(609) 970-3354
Entity
Organization
Contact information
Practice address
1409 ENDINGO AVE, WILLIAMSTOWN, NJ 08094-8762
(609) 970-3354
Mailing address
1409 ENDINGO AVE, WILLIAMSTOWN, NJ 08094-8762
(609) 970-3354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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