Individual
MS. MA LUISA ALVIZ GANGCUANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28 SHARON DR, EAST HANOVER, NJ 07936-3429
(973) 842-1160
Mailing address
28 SHARON DR, EAST HANOVER, NJ 07936-3429
(973) 842-1160
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00626600
NJ
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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