Individual
NERISSA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
51 KOVAR ST, BOGOTA, NJ 07603-1113
(201) 790-7441
Mailing address
51 KOVAR ST, BOGOTA, NJ 07603-1113
(201) 790-7441
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00162200
NJ
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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