Individual
PAOLO J DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
93 W 14TH ST FL 1, BAYONNE, NJ 07002-1317
(973) 583-9371
Mailing address
93 W 14TH ST FL 1, BAYONNE, NJ 07002-1317
(973) 583-9371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007010
NY
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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