Individual
NICOLE K LA ROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-4323
Mailing address
407 DIVISION AVE, CARLSTADT, NJ 07072-1305
(201) 686-2070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00910400
NJ
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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