Individual
MS. JANNIKA HANTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
136 MIDLAND AVE, #2, MONTCLAIR, NJ 07042-2958
(917) 902-1496
Mailing address
136 MIDLAND AVE, #2, MONTCLAIR, NJ 07042-2958
(917) 902-1496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
015647
NY
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00551100
NJ
Other
Enumeration date
05/18/2009
Last updated
09/22/2011
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