Individual
HENNA PRUZANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 CHELSEA CT, LAKEWOOD, NJ 08701-5345
(732) 901-6346
Mailing address
14 CHELSEA CT, LAKEWOOD, NJ 08701-5345
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00118600
NJ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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