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Individual

MICHELE PUOPOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6818 DELILAH RD, EGG HARBOR TWP, NJ 08234-9594
(609) 453-3200
Mailing address
813 HOLLY BERRY LN, BRICK, NJ 08724-5127
(732) 232-3657

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19789
CA
225X00000X
Occupational Therapist
Primary
46TR00869700
NJ

Other

Enumeration date
04/08/2020
Last updated
11/11/2020
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