Individual
MONICA L DIVITO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
113 LAUREL RD E, SUITE 2, STRATFORD, NJ 08084-1363
(856) 435-6332
Mailing address
107 MAGNOLIA DR, PENNSVILLE, NJ 08070-3639
(856) 435-6332
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
46TR00256200
NJ
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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