Individual
SANDY H KOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2339 HUDSON TER APT B7, FORT LEE, NJ 07024-7910
(201) 414-2762
Mailing address
2339 HUDSON TER APT B7, FORT LEE, NJ 07024-7910
(201) 414-2762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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