Individual
MRS. FROZA MERCADO DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
Mailing address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00884300
NJ
225X00000X
Occupational Therapist
OC016892
PA
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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