Individual
CRISTY CORDOVA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1801 OAK TREE RD, EDISON, NJ 08820-2772
(732) 767-1031
Mailing address
141 GORDON ST, PERTH AMBOY, NJ 08861-4658
(732) 895-8901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01020100
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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