Individual
NICOLE ASHLEY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
815 BROADWAY, BAYONNE, NJ 07002-2919
(201) 823-6012
Mailing address
17 WATCHUNG PLZ, MONTCLAIR, NJ 07042-4117
(973) 744-0804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00499800
NJ
Other
Enumeration date
10/19/2010
Last updated
11/22/2023
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