Individual
NICOLE MARIE IACONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
404 KING GEORGE RD, BASKING RIDGE, NJ 07920-2808
(908) 838-0566
Mailing address
405 LINDSLEY DR, APARTMENT 2K, MORRISTOWN, NJ 07960-4477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00718500
NJ
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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