Individual
IRENE CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
(201) 564-7515
Mailing address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
45TR00443600
NJ
Other
Enumeration date
10/08/2018
Last updated
11/09/2018
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