Individual
LAUREN BAUTISTA GRAMATICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 W PASSAIC ST STE 3, MAYWOOD, NJ 07607-1264
(201) 994-3782
Mailing address
314 SOUTH PKWY, CLIFTON, NJ 07014-1223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00931900N
NJ
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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