Organization
RISING STARS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOVID KROHN (MEMBER)
(732) 608-1720
Entity
Organization
Contact information
Practice address
500 RIVER AVE, LAKEWOOD, NJ 08701-4738
(732) 905-1212
Mailing address
500 RIVER AVE, LAKEWOOD, NJ 08701-4738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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