Individual
MARINA REVICH-KRAVZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
70 ELLSWORTH TERR., GLEN ROCK, NJ 07452-0745
(201) 389-6487
(201) 389-6487
Mailing address
70 ELLSWORTH TERR., GLEN ROCK, NJ 07452
(201) 389-6487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00808100
NJ
Other
Enumeration date
01/10/2018
Last updated
06/16/2018
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