Organization
GLOW OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA DAVISON OTR/L (OCCUPATIONAL THERAPIST)
(908) 256-0150
Entity
Organization
Contact information
Practice address
33 STIRLING RD, BERNARDSVILLE, NJ 07924-2814
(908) 256-0150
Mailing address
33 STIRLING RD, BERNARDSVILLE, NJ 07924-2814
(908) 256-0150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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