Individual
EBLA MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LOVEYS DR, FLORHAM PARK, NJ 07932-2801
(973) 735-4955
Mailing address
35 JOURNAL SQ STE 610, JERSEY CITY, NJ 07306-4029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00798500
NJ
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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