Individual
MRS. NICOLE LEE VAN ORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
58 WASHINGTON STREET, COLUMBIA, NJ 07832
(908) 496-4307
Mailing address
932 CEDAR DR, NEWTON, NJ 07860-4517
(973) 534-1040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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