Individual
ANDREA PORCHIAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 COUNTY RD STE 101, TENAFLY, NJ 07670-1854
(201) 894-5800
Mailing address
43 POPLAR AVE APT 1, HACKENSACK, NJ 07601-4708
(908) 247-6303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00679400
NJ
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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