Individual
NICOLE YANNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
357 SEMEL AVE APT 2, GARFIELD, NJ 07026-2126
(201) 414-4498
Mailing address
357 SEMEL AVE APT 2, GARFIELD, NJ 07026-2126
(201) 414-4498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3564
NH
225X00000X
Occupational Therapist
46TR01157200
NJ
Other
Enumeration date
03/08/2024
Last updated
04/01/2024
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