Individual
STEPHANIE ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
177 BLEECKER ST, JERSEY CITY, NJ 07307-4017
(201) 566-8947
Mailing address
177 BLEECKER ST, JERSEY CITY, NJ 07307-4017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00780800
NJ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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