Individual
MRS. STEPHANIE DECLERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2 DEERPARK DR, MONMOUTH JUNCTION, NJ 08852-1919
(732) 274-1122
Mailing address
2 DEERPARK DR, MONMOUTH JUNCTION, NJ 08852-1919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09108000
NJ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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