Individual
KATHLEEN VENEZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
766 BROAD ST, SHREWSBURY, NJ 07702-4203
(855) 428-8246
Mailing address
4 BECKET RD, MANALAPAN, NJ 07726-2605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00977900
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
46TR00977900
NJ
Other
Enumeration date
04/20/2021
Last updated
08/18/2021
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