Individual
ELISABETH GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
17 WATCHUNG PLZ, MONTCLAIR, NJ 07042-4117
(862) 621-9330
Mailing address
41 GLENRIDGE AVE, MONTCLAIR, NJ 07042-6705
(732) 675-2765
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NJ
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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