Individual
JOHN PANASSIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4776 US HIGHWAY 9, HOWELL, NJ 07731-3354
(732) 364-1172
(732) 364-1186
Mailing address
385 OCEAN BLVD APT 4C, LONG BRANCH, NJ 07740-5740
(732) 222-6449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00389900
NJ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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