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Individual

NINA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
140 N RTE 17 STE 272, PARAMUS, NJ 07652-2800
(201) 261-4343
Mailing address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020032-1
NY
225X00000X
Occupational Therapist
Primary
46TR00965600
NJ
225X00000X
Occupational Therapist

Other

Enumeration date
03/02/2017
Last updated
05/30/2024
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