Organization
COLTS NECK OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BUCKLEY (CO-OWNER OCCUPATIONAL THERAPIST)
(732) 308-4366
Entity
Organization
Contact information
Practice address
281 ROUTE 34, SUITE 807, COLTS NECK, NJ 07722-2439
(732) 308-4366
(732) 761-0075
Mailing address
281 ROUTE 34, SUITE 807, COLTS NECK, NJ 07722-2439
(732) 308-4366
(732) 761-0075
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00391400
NJ
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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