Individual
STEPHANIE GERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1039 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6340
(973) 980-3442
(973) 835-4697
Mailing address
1039 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6340
(973) 980-3442
(973) 835-4697
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
008610-1
NY
171W00000X
Contractor
Primary
46TR00218900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008610-1
OCCUPATIONAL THERAPY
NY
01
—
46TR00218900
OCCUPATIONAL THERAPY
NJ
Enumeration date
11/29/2010
Last updated
11/29/2010
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