Individual
PAIGE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
(732) 701-3711
Mailing address
31 SEVEN OAKS CIR, HOLMDEL, NJ 07733-1922
(732) 546-4903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00769000
NJ
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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