Individual
IVANA NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
210 NORTH AVE E STE 1, CRANFORD, NJ 07016-2491
(908) 276-0237
(908) 276-5692
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 265-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01134500
NJ
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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