Individual
MICHAEL ROUFAEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 TONER RD, BOONTON, NJ 07005-2325
(973) 735-7848
Mailing address
219 TONER RD, BOONTON, NJ 07005-2325
(973) 735-7848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00795600
NJ
Other
Enumeration date
12/23/2018
Last updated
12/23/2018
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