Individual
KATELYN EARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 HOOPER AVE, TOMS RIVER, NJ 08753-7719
(732) 281-3200
Mailing address
PO BOX 340, FORKED RIVER, NJ 08731-0340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01023800
NJ
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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