Individual
MR. MITCHELL FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
26 TIMBERCREST DR., SEWELL, NJ 08080
(856) 464-2556
Mailing address
26 TIMBERCREST DR, SEWELL, NJ 08080-3716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
01/29/2020
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