Individual
KHUSBU DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
209 RUTGERS BLVD, BERLIN, NJ 08009-7107
(856) 375-5963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09175600
NJ
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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