Individual
MR. ANTHONY MATTHEW FATTORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4100
Mailing address
26 CONERLY RD, SOMERSET, NJ 08873-2368
(732) 325-0580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09092800
NJ
Other
Enumeration date
09/19/2017
Last updated
03/17/2018
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