Individual
SHIELA VILLANUEVA PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
245 COPELAND AVE APT 3, LYNDHURST, NJ 07071-3033
(847) 873-3835
Mailing address
245 COPELAND AVE APT 3, LYNDHURST, NJ 07071-3033
(847) 873-3835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014935
NY
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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