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Individual

MISS COURTNEY ROSE BRISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2402
(609) 978-0600
Mailing address
59 E UNION ST, BORDENTOWN, NJ 08505-2059
(609) 456-1022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00833000
NJ

Other

Enumeration date
08/02/2018
Last updated
08/02/2018
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