Individual
AMY GUENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
60 POMPTON AVE, VERONA, NJ 07044-2946
(973) 271-5802
Mailing address
60 POMPTON AVE, VERONA, NJ 07044-2946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00175700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00175700
NJ
NJ
Enumeration date
07/05/2018
Last updated
07/05/2018
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