Individual
TAYLOR PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
900 ROUTE 9 N STE 410, WOODBRIDGE, NJ 07095-1003
(201) 801-7141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
08/19/2020
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