Individual
NICOLE GERVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 UNION PL STE 204, SUMMIT, NJ 07901-2568
(908) 273-5537
Mailing address
57 UNION PL STE 204, SUMMIT, NJ 07901-2568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00974100
NJ
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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