Individual
VENEZIA MARIE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7740 PARK AVE, PENNSAUKEN, NJ 08109-3535
(267) 241-0392
Mailing address
7740 PARK AVE, PENNSAUKEN, NJ 08109-3535
(267) 241-0392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09240800
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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