Individual
REBECCA DAVIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00520900
NJ
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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