Individual
GERALDINE BORRELLI SHEA
Active
Individual
GERALDINE BORRELLI SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00079300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00079300
LICENSE
NJ
Enumeration date
02/21/2013
Last updated
02/21/2013
Update your record
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