Individual
AMY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WAGON LN, CHERRY HILL, CHERRY HILL, NJ 08002-1560
(267) 872-0523
Mailing address
40 WAGON LN, CHERRY HILL, CHERRY HILL, NJ 08002-1560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00561500
NJ
225X00000X
Occupational Therapist
Primary
OC011913
PA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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