Organization
PEDIATRIC ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE KRELL MS, OTR, CHT (DIRECTOR)
(908) 654-4252
Entity
Organization
Contact information
Practice address
525 CENTRAL AVE, SUITE B, WESTFIELD, NJ 07090-2534
(908) 654-4252
(908) 654-4258
Mailing address
525 CENTRAL AVE, SUITE B, WESTFIELD, NJ 07090-2534
(908) 654-4252
(908) 654-4258
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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