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Individual

MRS. ALYSIA EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00590100
NJ

Other

Enumeration date
08/02/2012
Last updated
04/17/2023
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