Individual
MRS. PAULA DIANNE EMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
309 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6504
(973) 956-2900
Mailing address
309 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6504
(973) 956-2900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00534100
NJ
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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