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Individual

LEA GRACE NEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L, CBIS

Contact information

Practice address
15 8TH ST, NEW PROVIDENCE, NJ 07974-2209
(908) 500-9480
Mailing address
802 W PARK AVE STE 211, OCEAN, NJ 07712-8526
(732) 918-4848

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00672900
NJ

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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