Individual
MIRANDA ELIZABETH CAPEZZUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
60 CENTER ST, CLINTON, NJ 08809-1336
(908) 399-0576
Mailing address
60 CENTER ST, CLINTON, NJ 08809-1336
(908) 399-0576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025001
NYSED
NY
Enumeration date
12/07/2020
Last updated
12/07/2020
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