Individual
PETER S BOUSTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
33 CENTRAL AVE, MIDLAND PARK, NJ 07432-1401
(201) 819-1081
Mailing address
33 CENTRAL AVE, MIDLAND PARK, NJ 07432-1401
(201) 819-1081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01173300
NJ
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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