Individual
LAUREN STAHL-WIESZCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
918 SOUTH AVE W, WESTFIELD, NJ 07090-1415
(908) 233-3525
Mailing address
2132 NEWARK AVE, SCOTCH PLAINS, NJ 07076-4669
(908) 654-0901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00083600
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00083600
NJ
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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