Individual
MRS. KATHERINE PAVLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
3196 KENNEDY BLVD, SPORTSCARE 3RD FLOOR, UNION CITY, NJ 07087-2436
(201) 223-4949
Mailing address
116 RAVINE AVE, WEST CALDWELL, NJ 07006-7617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00533400
NJ
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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