Individual
ANDREW MANANSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 HOOYMAN DR, CLIFTON, NJ 07013-3640
(973) 330-6431
Mailing address
983 GARIBALDI PL, TOWNSHIP OF WASHINGTON, NJ 07676-4120
(201) 310-6131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09109900
NJ
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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