Individual
SIR VAUGHN JOFFRE AINZA LACSAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 WASHINGTON AVE, LITTLE FERRY, NJ 07643-2076
(201) 620-6200
Mailing address
216 WASHINGTON AVE, LITTLE FERRY, NJ 07643-2076
(201) 620-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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