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Individual

JOHN NICHOLAS ROSALIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
579 CRANBURY RD STE C, EAST BRUNSWICK, NJ 08816-5405
(732) 432-0733
(732) 432-9131
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00925500
NJ
225X00000X
Occupational Therapist
OC017304
PA

Other

Enumeration date
10/28/2020
Last updated
12/16/2020
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