Individual
AVIVA SHAYNA BRESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 RIVER AVE, 10C, LAKEWOOD, NJ 08701-5657
(732) 534-6707
Mailing address
744 WESTFIELD AVE, APT 203, ELIZABETH, NJ 07208-5303
(908) 910-1026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00755100
NJ
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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