Organization
STAR THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHUDIS MERLING OT (OWNER)
(732) 961-7413
Entity
Organization
Contact information
Practice address
1525 PROSPECT ST STE 206, LAKEWOOD, NJ 08701-4662
(732) 961-7413
(732) 961-7414
Mailing address
1525 PROSPECT ST STE 206, LAKEWOOD, NJ 08701-4662
(732) 961-7413
(732) 961-7414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/12/2015
Last updated
03/06/2017
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