Individual
HEATHER NICOLE KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
76 NORWOOD AVE, WOODBRIDGE, NJ 07095-3229
(908) 420-6401
Mailing address
76 NORWOOD AVE, WOODBRIDGE, NJ 07095-3229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01133500
NJ
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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