Individual
LINA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 TERRACE AVE, JERSEY CITY, NJ 07307-4024
(551) 208-0521
Mailing address
229 TERRACE AVE, JERSEY CITY, NJ 07307-4024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008409
NY
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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