Individual
MRS. PATRICIA CECILIA VADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
86 MIAMI TRAIL, ROCKAWAY, NJ 07866
(908) 647-0180
Mailing address
86 MIAMI TRL, ROCKAWAY, NJ 07866-1036
(908) 647-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00072000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00072000
LICENSE
NJ
Enumeration date
07/20/2006
Last updated
07/08/2007
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