Individual
MARIOLA MAGDALENA ANTOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
563 NORTHFIELD AVE, WEST ORANGE, NJ 07052-2426
(973) 243-2060
Mailing address
563 NORTHFIELD AVE, WEST ORANGE, NJ 07052
(973) 243-2060
(973) 243-2387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00792900
NJ
Other
Enumeration date
09/01/2017
Last updated
09/23/2017
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