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Individual

KIMBERLY R CHARETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
166 PATTERSON AVE, STE B, SHREWSBURY, NJ 07702-4176
(732) 842-6600
Mailing address
400 MONMOUTH AVE, BRADLEY BEACH, NJ 07720-1149
(848) 469-0595

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TR00175900
NJ

Other

Enumeration date
08/23/2013
Last updated
08/23/2013
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