Individual
NIKI JULIA IOANNOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
Mailing address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00803900
NJ
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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