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Organization

PEDIATRIC ADVANTAGE

Active
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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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