Individual
VANESSA STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 SINCLAIR AVE, LANOKA HARBOR, NJ 08734-2034
(570) 916-4191
Mailing address
920 SINCLAIR AVE, LANOKA HARBOR, NJ 08734-2034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09083600
NJ
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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