Individual
CHRISTIAN REVOLORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
765 ROUTE 17, PARAMUS, NJ 07652-3112
(201) 843-3427
Mailing address
765 N RTE 17, PARAMUS, NJ 07652-3112
(201) 843-3427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09229800
NJ
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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