Individual
MADISON MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2035 LINCOLN HWY STE 1150, EDISON, NJ 08817-3351
(866) 557-8669
Mailing address
675 MONMOUTH ST APT 423, JERSEY CITY, NJ 07310-1327
(917) 715-5370
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR0109220
NJ
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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