Individual
MR. PEDRO RESTITUTO SEVILLE MONDEJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 CHAMBERLAIN AVE, LITTLE FERRY, NJ 07643-1830
(718) 710-8183
Mailing address
42 CHAMBERLAIN AVE, LITTLE FERRY, NJ 07643-1830
(718) 710-8183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008052
NY
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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