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Individual

MR. DANTE VELASQUEZ HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1314 LIBERTY AVE, UNION, NJ 07083-4142
(201) 606-3678
Mailing address
1314 LIBERTY AVE, UNION, NJ 07083-4142
(201) 606-3678

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014206
NY
225X00000X
Occupational Therapist
Primary
46TR00621200
NJ

Other

Enumeration date
07/12/2006
Last updated
08/16/2016
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