Individual
DEREK J CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/R
Contact information
Practice address
120 CHARLOTTE PL, ENGLEWOOD CLIFFS, NJ 07632-2615
(201) 446-6440
Mailing address
14 BIRCH RD, MAHWAH, NJ 07430-3006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46TR00608400
NJ
225X00000X
Occupational Therapist
Primary
46TR00608400
NJ
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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