Individual
MIA MORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150A TICES LN, EAST BRUNSWICK, NJ 08816-2015
(732) 307-8406
Mailing address
20 MERYL LN, CHERRY HILL, NJ 08002-1550
(856) 979-1571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09213300
NJ
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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