Individual
AMANI CANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 WARD AVE APT 5M, BORDENTOWN, NJ 08505-2309
(609) 770-1282
Mailing address
272 WARD AVENUE, APRT 5M, BORDENTOWN, NJ 08505
(609) 770-1282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008512
PA
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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