Individual
KIRBY MASIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 OAK DR, CEDAR GROVE, NJ 07009-1033
(973) 704-5758
(973) 785-0015
Mailing address
81 OAK DR, CEDAR GROVE, NJ 07009-1033
(973) 785-0015
(973) 785-0015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00336600
NJ
Other
Enumeration date
05/13/2006
Last updated
03/18/2011
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