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Individual

MR. EDER CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSOTR/L

Contact information

Practice address
56 CLINTON PL, NEWARK, NJ 07108-1219
(908) 868-9109
Mailing address
56 CLINTON PL, NEWARK, NJ 07108-1219
(908) 868-9109

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
46TR00515500
NJ
225000000X
Orthotic Fitter
46TR00515500
NJ
225X00000X
Occupational Therapist
Primary
46TR00515500
NJ
225XH1200X
Hand Occupational Therapist
46TR00515500
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
46TR00515500
NJ
225XR0403X
Driving and Community Mobility Occupational Therapist
46TR00515500
NJ

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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