Individual
ADELA MERIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 BERGENLINE AVE # 18, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
(201) 854-5522
Mailing address
11 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09128300
NJ
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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