Individual
MISS TAYLOR RAQUEL DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
791 ROUTE 10 E, RANDOLPH, NJ 07869-1933
(973) 216-1008
Mailing address
3 LORRAINE TER, BOONTON, NJ 07005-1239
(201) 414-4682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01158200
NJ
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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