Individual
MISS IRMADEL GALVE VERTUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 ETHEL RD, SUITE 403B, EDISON, NJ 08817-2841
(732) 549-2030
Mailing address
66 STEPHENVILLE PKWY, EDISON, NJ 08820-2609
(732) 259-0071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011549
IL
Other
Enumeration date
06/15/2016
Last updated
06/16/2016
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