Individual
ANTHONY IFEANYI OLEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1786 MANOR DR APT B, IRVINGTON, NJ 07111-1045
(862) 218-4241
Mailing address
1786 MANOR DR APT B, IRVINGTON, NJ 07111-1045
(862) 218-4241
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009568
NY
224Z00000X
Occupational Therapy Assistant
46TA09165500
NJ
Other
Enumeration date
07/17/2019
Last updated
08/17/2020
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