Individual
MISS LUCY MWANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 UNION ST, APT 2A, MONTCLAIR, NJ 07042-3377
(973) 783-1691
Mailing address
53 UNION ST, APT 2A, MONTCLAIR, NJ 07042-3377
(973) 783-1691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00187200
NJ
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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