Individual
ALYSSA BARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
144 NJ-34, MATAWAN, NJ 07747
(732) 316-5895
Mailing address
20 W PARSONAGE WAY, MANALAPAN, NJ 07726-7903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00856700
NJ
Other
Enumeration date
11/02/2020
Last updated
11/01/2024
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