Individual
CHARLESTON CEMPRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
182 CARTER RD, HASKELL, NJ 07420-1062
(973) 687-6616
Mailing address
182 CARTER RD, HASKELL, NJ 07420-1062
(973) 687-6616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00666300
NJ
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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