Individual
AYANO NICOLE ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
459 WATCHUNG AVE, WATCHUNG, NJ 07069-4945
(908) 274-0988
Mailing address
32 THURSTON TER, GLEN ROCK, NJ 07452-2910
(201) 665-9147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01070000
NJ
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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