Individual
MRS. HEIDI LYNN LARGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 SOUTHERN BLVD, CHATHAM, NJ 07928-1488
(973) 822-8311
Mailing address
209 PEACHTREE VLG, HACKETTSTOWN, NJ 07840-4518
(908) 852-4035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TR4600277900
NJ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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