Individual
MISS RACHEL PERNIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14 HENRY ST, LAKEWOOD, NJ 08701-4707
(848) 240-2860
Mailing address
14 HENRY ST, LAKEWOOD, NJ 08701-4707
(848) 240-2860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09215600
NJ
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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