Individual
MISS BETHANN LILLIAN FERRIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07101-1709
(973) 972-0186
Mailing address
2 CHERBAR CT, COLONIA, NJ 07067-2202
(732) 221-6852
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00279200
NJ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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