Individual
MR. MARK LANCEL TRESPALACIOREAL RAYOS DEL SOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
787 NORTHFIELD AVE, REHAB DEPT, WEST ORANGE, NJ 07052
(973) 731-4500
Mailing address
28 SHARON DR, EAST HANOVER, NJ 07936-3429
(973) 842-1325
(973) 842-1325
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00623700
NJ
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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