Organization
SN PEDIATRIC POTENTIALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN LORENG O.T.R./L (OCCUPATIONAL THERAPIST)
(973) 535-5010
Entity
Organization
Contact information
Practice address
154 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3017
(973) 535-5010
Mailing address
154 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3017
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
46TR00072900
NJ
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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