Individual
MR. JOHN WARREN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
128 W GROVE ST, BOGOTA, NJ 07603-1003
(201) 546-1265
Mailing address
128 W GROVE ST, BOGOTA, NJ 07603-1003
(201) 546-1265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007253
NY
225X00000X
Occupational Therapist
OT 4903
FL
Other
Enumeration date
11/01/2007
Last updated
07/11/2008
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