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Individual

ELISCIA MINAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY

Contact information

Practice address
17 LEGION PL, ROCHELLE PARK, NJ 07662-3209
(201) 843-3274
Mailing address
425 MADISON AVE APT 28, NEW MILFORD, NJ 07646-1365
(201) 220-9454

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00238400
NJ

Other

Enumeration date
12/28/2022
Last updated
12/28/2022
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