Individual
DEEDEE DESIREE TE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
425 MADISON AVE APT 23, NEW MILFORD, NJ 07646-1365
(201) 982-4525
Mailing address
425 MADISON AVE APT 23, NEW MILFORD, NJ 07646-1365
(201) 982-4525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00170200
NJ
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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