Individual
ETHAN SAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 MORRIS AVE, UNION, NJ 07083-3309
(877) 532-7837
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01136200
NJ
Other
Enumeration date
08/17/2023
Last updated
03/13/2025
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