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Individual

PAMELA MICHELLE BACCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
802 W PARK AVE STE 211, OCEAN, NJ 07712-8526
(732) 918-4848
Mailing address
324 SINCLAIR CT, MORGANVILLE, NJ 07751-2036
(848) 466-4786

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR0092600
NJ
225X00000X
Occupational Therapist

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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