Individual
LOVERSON GARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 400-3812
Mailing address
1956 WILLIAM ST, UNION, NJ 07083-4504
(862) 215-7543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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