Individual
KAITLIN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N UNION AVE STE 204A, CRANFORD, NJ 07016-2198
(908) 653-0300
Mailing address
1 TULIP CRES APT 2B, LITTLE FALLS, NJ 07424-1660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09108900
NJ
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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