Individual
MISS SAMANTHA JOANNE LANCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
711 KEARNY AVE, KEARNY, NJ 07032-3003
(201) 535-8555
Mailing address
711 KEARNY AVE, KEARNY, NJ 07032-3003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00857700
NJ
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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