Individual
MARK RAVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2698 ROUTE 516 STE B, OLD BRIDGE, NJ 08857-2305
(732) 637-9170
Mailing address
435 HAMPTON CT, MANALAPAN, NJ 07726-3280
(732) 637-9170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00810700
NJ
Other
Enumeration date
11/07/2018
Last updated
11/18/2024
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