Individual
AMANDA FORGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 DUMAS RD, OLD BRIDGE, NJ 08857-1680
(732) 690-7350
Mailing address
41 DUMAS RD, OLD BRIDGE, NJ 08857-1680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00673500
NJ
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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