Individual
SWAPNA BOLLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
21 MORAINE RD, EDISON, NJ 08820-3663
(732) 442-4860
Mailing address
21 MORAINE RD, EDISON, NJ 08820-3663
(732) 442-4860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010556-1
NY
225X00000X
Occupational Therapist
46TR00221700
NJ
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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