Individual
MRS. CAREN LISA HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
65 BERGEN ST, ROOM 601- NEWARK THERAPY SERVICES, NEWARK, NJ 07107-3001
(973) 972-0186
(973) 972-2645
Mailing address
72 MOHAWK TRL, WAYNE, NJ 07470-5030
(973) 449-4786
(973) 839-6921
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00088800
NJ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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