Individual
NICOLE V DICUBELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
766 BROAD ST, SHREWSBURY, NJ 07702-4203
(855) 428-8246
Mailing address
33 DESAI CT, FREEHOLD, NJ 07728-8405
(732) 598-1502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01065200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR01065200
OT LICENSE
NJ
Enumeration date
08/03/2022
Last updated
08/03/2022
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