Individual
MARY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1309
(973) 330-2683
Mailing address
613 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1309
(973) 330-2683
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018607
NY
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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