Individual
KELSEY LYNN MIECZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 HOOPER AVE, TOMS RIVER, NJ 08753-2242
(844) 234-8387
Mailing address
1944 SHIP CT, TOMS RIVER, NJ 08753-3119
(908) 930-5688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01097300
NJ
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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