Individual
CRYSTALENE JOY F MARCHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WHIPPANY RD, WHIPPANY, NJ 07981-1407
(973) 599-9134
Mailing address
59 FALMOUTH AVE, ELMWOOD PARK, NJ 07407-1643
(845) 499-9134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09127400
NJ
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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