Individual
MICHAEL MOUSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 PEARLCROFT RD, CHERRY HILL, NJ 08034-3334
(609) 509-2388
Mailing address
132 PEARLCROFT RD, CHERRY HILL, NJ 08034-3334
(609) 509-2388
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00648200
NJ
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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