Individual
AMANDA M D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01162400
NJ
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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