Individual
JUSTIN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155-175 W HUDSON AVE, ENGLEWOOD, NJ 07631
(201) 803-8669
Mailing address
115 LAKESIDE BLVD, OAKLAND, NJ 07436-3904
(201) 803-8669
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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