Individual
AVIVA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1124 WINDSOR RD, TEANECK, NJ 07666-2724
(201) 836-1324
Mailing address
1124 WINDSOR RD, TEANECK, NJ 07666-2724
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2430
NY
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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