Individual
MS. LAURA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
313 13TH ST, UNION CITY, NJ 07087-5727
(201) 284-9011
Mailing address
313 13TH ST, UNION CITY, NJ 07087-5727
(201) 284-9011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010239
NY
224Z00000X
Occupational Therapy Assistant
46TA09183600
NJ
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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