Individual
MARIE YASMINE LULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
12 APPLETREE DR, MATAWAN, NJ 07747
(732) 566-2494
Mailing address
12 APPLETREE DR, MATAWAN, NJ 07747
(732) 566-2494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00295700
NJ
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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