Individual
JOAN LATOGA ANCAO-MABALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3412 INVERNESS DR, TOMS RIVER, NJ 08753-6324
(973) 412-5916
Mailing address
3412 INVERNESS DR, TOMS RIVER, NJ 08753-6324
(973) 412-5916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00494300
NJ
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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