Individual
KAILY ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133B TIERNEY DR, CEDAR GROVE, NJ 07009-1929
(732) 567-6971
Mailing address
133B TIERNEY DR, CEDAR GROVE, NJ 07009-1929
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00489200
NJ
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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