Individual
KYM EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
296 HAMBURG TPKE, WAYNE, NJ 07470-2150
(973) 790-5800
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
(732) 876-4967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01013600
NJ
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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