Individual
MYRIL WACHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S LAKE DR, LAKEWOOD, NJ 08701-3163
(732) 367-7327
Mailing address
433 1ST ST, LAKEWOOD, NJ 08701-2521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00664100
NJ
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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