Individual
ANNIE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
Mailing address
576 W SIDE AVE APT 2, JERSEY CITY, NJ 07304-1722
(201) 850-3751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09124800
NJ
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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