Individual
NICHOLAS BOMBARDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
(201) 797-9522
Mailing address
47 E EDSALL AVE, PALISADES PARK, NJ 07650-1420
(201) 370-4194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00499500
NJ
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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