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Organization

THERAPY TREE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER CHAVEZ M.S. OTR/L (OWNER - OCCUPATIONAL THERAPIST)
(201) 650-0903
Entity
Organization

Contact information

Practice address
922 SOUTH AVE W, WESTFIELD, NJ 07090-1415
(201) 650-0903
Mailing address
PO BOX 347, METUCHEN, NJ 08840-0347
(201) 650-0903

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/22/2008
Last updated
04/08/2014
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