Individual
MR. JOSEPH M RICCOBONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
25 CAMPBELL ST, WALDWICK, NJ 07463-2403
(201) 788-7785
Mailing address
25 CAMPBELL ST, WALDWICK, NJ 07463-2403
(201) 788-7785
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015613
NY
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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