Individual
MELISSA ANN VASTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MAIN ST, CHATHAM, NJ 07928-2238
(973) 635-0202
Mailing address
330 MAIN ST, CHATHAM, NJ 07928-2238
(973) 635-0202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00188500
NJ
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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