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Individual

GREACHY AERLLENY CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
65 BERGEN ST, ROOM 601, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
252 PAGE AVE, LYNDHURST, NJ 07071-2615
(201) 340-4832

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR004046000
NJ

Other

Enumeration date
09/24/2007
Last updated
09/24/2007
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