Individual
MRS. PHYLLIS ROBIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 KINDERKAMACK RD, EMERSON, NJ 07630-1828
(201) 265-3700
Mailing address
100 KINDERKAMACK ROAD, EMERSON, NJ 07630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004752
NY
225X00000X
Occupational Therapist
Primary
46TR00427700
NJ
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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