Individual
KELLY MALANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7603
(973) 771-1582
Mailing address
31 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01028200
NJ
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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