Individual
FADY ISHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
27 WEAVERVILLE RD, FREEHOLD, NJ 07728-8192
(732) 567-3866
(855) 678-8887
Mailing address
27 WEAVERVILLE RD, FREEHOLD, NJ 07728-8192
(732) 567-3866
(855) 678-8887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01277400
NJ
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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