Individual
MIKAYLA TRACY AGRESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
666 PLAINSBORO RD STE 2000C, PLAINSBORO, NJ 08536-3048
(844) 234-8387
Mailing address
8 NATHANIEL ST, MONROE TWP, NJ 08831-9639
(732) 421-4161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01218600
NJ
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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