Individual
THERESA SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 MAPLEWOOD AVE, CRANBURY, NJ 08512-3237
(609) 395-0641
Mailing address
859 WINDSOR PERRINEVILLE RD, EAST WINDSOR, NJ 08520-6138
(732) 915-2820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09103600
NJ
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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