Individual
SUSAN GUYDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-6700
Mailing address
1263 VALLEY RD, MONTCLAIR, NJ 07043-2118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00582500
NJ
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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