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Individual

MEGAN E LABOUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
250 RIVER ST, HACKENSACK, NJ 07601-7514
(201) 820-3730
(201) 820-3731
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0864

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00868800
NJ
225XH1200X
Hand Occupational Therapist
46TR00868800
NJ

Other

Enumeration date
04/25/2019
Last updated
03/12/2020
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