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Individual

DIANA LYNNE BONZULAK ANWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
600 S LIVINGSTON AVE STE 210, LIVINGSTON, NJ 07039-5415
(800) 530-3247
Mailing address
38 CROSS HILL RD, MILLINGTON, NJ 07946-1412
(908) 580-1478

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09015100
NJ

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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