Individual
MELANIE DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E LINDSLEY RD, CEDAR GROVE, NJ 07009-1023
(973) 256-7220
Mailing address
38 13TH AVE, ELMWOOD PARK, NJ 07407-3502
(201) 744-9439
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00727000
NJ
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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