Individual
LIANA DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W FOX TRL, WILLIAMSTOWN, NJ 08094-1573
(856) 404-4363
Mailing address
311 W FOX TRL, WILLIAMSTOWN, NJ 08094-1573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00631400
NJ
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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