Individual
SHANA CARMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
92 WALRAVEN DR, APARTMENT 2A, TEANECK, NJ 07666-5118
(201) 240-5274
Mailing address
681 DOWNING ST, TEANECK, NJ 07666-2220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015084-1
NY
Other
Enumeration date
04/29/2011
Last updated
11/27/2018
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