Individual
GABRIELLE HALBERSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
36 DAKOTA ST, PASSAIC, NJ 07055-3332
(800) 950-6066
Mailing address
36 DAKOTA ST, PASSAIC, NJ 07055-3332
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00350000
NJ
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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