Individual
OLIVEA POTENZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 TERRACE ST, SUITE 4, HAWORTH, NJ 07641-1845
(201) 388-5344
Mailing address
160 TERRACE ST, SUITE 4, HAWORTH, NJ 07641-1845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00671900
NJ
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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