Individual
KATHLEEN MARY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
237 AVENUE E, BAYONNE, NJ 07002-3714
(201) 455-3144
Mailing address
105 SAMUEL CT, LINCROFT, NJ 07738-1407
(732) 320-7050
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR01071300
NJ
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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