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Individual

ILLYCE KAPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
785 HOLMDEL RD, HOLMDEL, NJ 07733-1661
(732) 539-6535
(928) 222-5626
Mailing address
785 HOLMDEL RD, HOLMDEL, NJ 07733-1661
(732) 539-6535
(928) 222-5626

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00120400
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00120400
NJ

Other

Enumeration date
06/30/2009
Last updated
02/06/2019
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