Individual
CLAUDIE MELLONBORGELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(973) 234-2559
Mailing address
129 MITCHELL ST, WEST ORANGE, NJ 07052-4553
(973) 234-2559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
NY
Enumeration date
09/29/2015
Last updated
09/29/2015
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