Individual
MR. CARL R. PAULINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
265 E ARTHUR PL, ISELIN, NJ 08830-1203
(347) 981-6430
Mailing address
265 E ARTHUR PL, ISELIN, NJ 08830-1203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008725-1
NY
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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