Individual
MRS. ILANA KANOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
481 BROAD AVE FL 1, LEONIA, NJ 07605-1637
(646) 302-9624
Mailing address
481 BROAD AVE FL 1, LEONIA, NJ 07605-1637
(646) 302-9624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00378700
NJ
Other
Enumeration date
07/21/2008
Last updated
09/02/2020
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