Individual
RACHEL FAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 PINE ST, LAKEWOOD, NJ 08701-4829
(848) 238-4379
Mailing address
175 PINE ST, LAKEWOOD, NJ 08701-4829
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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