Individual
NICOLE LYNN VONTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 REYNOLDS AVE, PARSIPPANY, NJ 07054-3326
(973) 887-8080
(973) 386-5974
Mailing address
419 RADCLIFFE ST, WYCKOFF, NJ 07481-3028
(201) 880-6029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA090553
NJ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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