Individual
CHANIE PRUZANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 8TH ST, LAKEWOOD, NJ 08701-2609
(732) 522-5142
Mailing address
635 8TH ST, LAKEWOOD, NJ 08701-2609
(732) 522-5142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00051300
NJ
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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