Individual
MR. MICHAEL GANOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
618 SEMINARY AVE FL 2, RAHWAY, NJ 07065-3446
(908) 242-0989
Mailing address
618 SEMINARY AVE FL 2, RAHWAY, NJ 07065-3446
(908) 242-0989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09164800
NJ
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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