Organization
THE CHILDRENS SOURCE FOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE MAYKISH OT (DIRECTOR)
(973) 226-5052
Entity
Organization
Contact information
Practice address
556 EAGLE ROCK AVENUE, SUITE 101, ROSELAND, NJ 07068
(973) 226-5052
Mailing address
556 EAGLE ROCK AVENUE, SUITE 101, ROSELAND, NJ 07068
(973) 226-5052
(973) 226-4502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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