Individual
TERESA PUHALLA HOGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
572 OLD DEERFIELD PIKE, 84, DEERFIELD STREET, NJ 08313-0084
(856) 451-2034
Mailing address
PO BOX 84, 572 OLD DEERFIELD PIKE, DEERFIELD STREET, NJ 08313-0084
(856) 451-2034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00161000
NJ
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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