Individual
CASANDRA LAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
566 S BROAD ST, GLEN ROCK, NJ 07452-1333
(201) 643-6983
Mailing address
595 SEMINOLE STREET, ORADELL, NJ 07649
(201) 575-0145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00782900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XYQ914457083
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/12/2018
Last updated
07/12/2018
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