Individual
MELINDA A. MATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
68 WATERFORD AVE, MORGANVILLE, NJ 07751-4246
(718) 791-9787
Mailing address
627 LEES AVE, COLLINGSWOOD, NJ 08108-3127
(609) 605-3068
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00178000
NJ
225XP0200X
Pediatric Occupational Therapist
OC003069L
PA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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