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Individual

MR. BRYANN ALCANTARA CARABIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
63 HOOYMAN DR, CLIFTON, NJ 07013-3640
(973) 495-0332
(973) 767-2871
Mailing address
12 HILLVIEW TER, DENVILLE, NJ 07834-2305
(561) 306-8488

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
216102
TX
224Z00000X
Occupational Therapy Assistant
Primary
46TA09101500
NJ

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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