Individual
MRS. ELYSA I LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
51 LOCUST LN, UPPER SADDLE RIVER, NJ 07458-2142
(201) 218-8772
Mailing address
51 LOCUST LN, UPPER SADDLE RIVER, NJ 07458-2142
(201) 218-8772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00484500
NJ
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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