Individual
DR. AMELIA CHULYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
89 US HIGHWAY 46, DENVILLE, NJ 07834-2744
(201) 650-0048
Mailing address
36 SHAWNEE AVE, ROCKAWAY, NJ 07866-1505
(201) 650-0048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01023100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46TR01023100
—
NJ
Enumeration date
10/31/2021
Last updated
10/31/2021
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