Individual
MRS. DEANNA LIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 BELCHASE DRIVE SUITE 406, MATAWAN, NJ 07747
(732) 851-6947
Mailing address
73 SHINNECOCK HILLS CT, HOWELL, NJ 07731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00878400
NJ
Other
Enumeration date
12/12/2020
Last updated
09/18/2023
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