Individual
ARCHIE TIMON ASUNTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 WOOLLEY DR, NEPTUNE, NJ 07753-3870
(848) 482-1723
Mailing address
516 WOOLLEY DR, NEPTUNE, NJ 07753-3870
(848) 482-1723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012982-1
NY
225X00000X
Occupational Therapist
Primary
46TR00322000
NJ
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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