Individual
MICHAEL THOMAS EMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
97 ANDOVER LN, ABERDEEN, NJ 07747-1228
(732) 583-4567
Mailing address
97 ANDOVER LN, ABERDEEN, NJ 07747-1228
(732) 583-4567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00352000
NJ
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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