Individual
MALISSA A SHILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
73 OLD TOMS RIVER RD., BRICK, NJ 08723-2700
(732) 451-1000
(732) 451-0887
Mailing address
73 OLD TOMS RIVER RD., BRICK, NJ 08723-2701
(732) 451-1000
(732) 451-0887
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09054100
NJ
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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