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Individual

KATIE A RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1043 W MAIN ST, FREEHOLD, NJ 07728-2538
(732) 800-9000
(732) 840-2088
Mailing address
1043 W MAIN ST, FREEHOLD, NJ 07728-2538
(732) 800-9000
(732) 840-2088

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
023569
NY
225X00000X
Occupational Therapist
Primary
46TR00873700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023569
THE UNIVERSITY OF THE STATE OF NEW YORK
NY
01
46TR00873700
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
05/16/2019
Last updated
05/15/2024
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