Individual
GINA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3900
Mailing address
89 PARK ST, #2 FRONT BUILDING, MONTCLAIR, NJ 07042-5914
(973) 783-0405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00401600
NJ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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