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Organization

SPARROSE LLC

Active
Other names
Inclusion Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
ALISON JOY HAGGAN MS, OTR/L (OWNER)
(908) 524-8152
Entity
Organization

Contact information

Practice address
198 W MAIN ST, SOMERVILLE, NJ 08876-2204
(732) 595-7212
Mailing address
167 MOUNT HOREB RD, WARREN, NJ 07059-5628
(908) 524-8152

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XH1300X
Human Factors Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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