Individual
ELIZABETH GRACE DEMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
Mailing address
75 PARK AVE, SHREWSBURY, NJ 07702-4409
(732) 403-6857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09195300
NJ
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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