Individual
RACHEL BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 INDEPENDENCE WAY, HAZLET, NJ 07730-2433
(732) 888-1321
Mailing address
12 INDEPENDENCE WAY, HAZLET, NJ 07730-2433
(732) 888-1321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024685-01
NY
225X00000X
Occupational Therapist
46TR00911800
NJ
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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