Individual
ELLYN LOVGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3318
(732) 544-1557
Mailing address
12 WEST ST, WEST LONG BRANCH, NJ 07764-1417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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