Individual
MERRIDETH WASILEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6612-18 BERGENLINE AVE, WEST NEW YORK, NJ 07093
(201) 854-5511
Mailing address
6612-18 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
(201) 854-5522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00086100
NJ
Other
Enumeration date
09/10/2018
Last updated
12/27/2022
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