Individual
ELLIE SILVERBERG ASSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
314 8TH ST, LAKEWOOD, NJ 08701-2868
(732) 886-8894
Mailing address
314 8TH ST, LAKEWOOD, NJ 08701-2868
(732) 886-8894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00584200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00584200
LICENSE
NJ
Enumeration date
01/28/2013
Last updated
01/28/2013
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