Individual
ELIZABETH HENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 INDIAN TRL, MOUNTAINSIDE, NJ 07092-1816
(908) 578-8521
Mailing address
311 INDIAN TRL, MOUNTAINSIDE, NJ 07092-1816
(908) 578-8521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019853-1
NY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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