Individual
CARYN SHORE-GENACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1373 BROAD ST, SUITE 302, CLIFTON, NJ 07013-4200
(973) 773-4263
Mailing address
176 EDGEWOOD AVE, CLIFTON, NJ 07012-1517
(917) 338-6025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0174861
NY
225X00000X
Occupational Therapist
Primary
46TR00582800
NJ
Other
Enumeration date
11/11/2012
Last updated
02/02/2017
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