Individual
ADRIANA THALIA CANESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
155-175 W HUDSON AVE, ENGLEWOOD, NJ 07631
(201) 871-8882
Mailing address
120 MAIN ST APT 2, GARFIELD, NJ 07026-2523
(973) 341-0566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09217300
NJ
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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