Organization
PREMIER THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH GROSS (OFFICER)
(732) 813-4263
Entity
Organization
Contact information
Practice address
360 OAK ST, LAKEWOOD, NJ 08701-5349
(732) 813-4263
Mailing address
110 HILLSIDE BLVD STE 7, LAKEWOOD, NJ 08701-3394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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