Individual
ELIZABETH HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 AMBOY AVE, EDISON, NJ 08837-2825
(732) 255-5990
Mailing address
105 PETTICOAT LN, ANNANDALE, NJ 08801-2037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00763500
NJ
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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