Individual
JESUS VILLARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
909 W CHESTNUT ST, UNION, NJ 07083-6951
(908) 370-9991
Mailing address
909 W CHESTNUT ST, UNION, NJ 07083-6951
(908) 370-9991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00607800
NJ
Other
Enumeration date
10/09/2017
Last updated
01/02/2018
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