Individual
STEPHANIE BOITCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
Mailing address
525 BEADLE HILL RD, VALLEY FALLS, NY 12185-2001
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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