Individual
MS. LYDIA SPEVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
(973) 239-9300
Mailing address
120 CLEVELAND AVE, LONG BEACH, NY 11561-3811
(561) 212-1063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA46TA09084800
NJ
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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