Individual
MARIA STEPHANIE CABANTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 VALLEY AVE APT C3, WESTWOOD, NJ 07675-3606
(917) 478-1803
Mailing address
20 VALLEY AVE APT C3, WESTWOOD, NJ 07675-3606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0136681
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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