Individual
ANGELA SEVERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 RANCOCAS RD, BURLINGTON, NJ 08016-4113
(609) 747-8619
Mailing address
2305 RANCOCAS RD, BURLINGTON, NJ 08016-4113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00464000
NJ
Other
Enumeration date
04/22/2009
Last updated
08/12/2011
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