Individual
SIMONE SUBRENA PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 CHARLES ST, BLOOMFIELD, NJ 07003-4759
(973) 820-8572
Mailing address
39 CHARLES ST, BLOOMFIELD, NJ 07003-4759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09113300
NJ
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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