Individual
STEPHANIE KOVATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46 SKEET RD, MEDFORD, NJ 08055-9607
(609) 654-6359
Mailing address
46 SKEET RD, MEDFORD, NJ 08055-9607
(609) 654-6359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00345200
NJ
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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