Individual
MS. ELIZABETH GRACE BERRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
(732) 873-2112
Mailing address
1940 COMMERCE ST, YORKTOWN HEIGHTS, NY 10598-4428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09089400
NJ
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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