Organization
THRIVE FOR SUCCESS LLC
Active
Organization
THRIVE FOR SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA YAVORSKYI COTA (OWNER)
(732) 267-7173
Entity
Organization
Contact information
Practice address
62 KINGSFIELD DR, LAKEWOOD, NJ 08701-3098
(732) 267-7173
Mailing address
62 KINGSFIELD DR, LAKEWOOD, NJ 08701-3098
(732) 267-7173
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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