Individual
MRS. SANDRA KEWCHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, DRS
Contact information
Practice address
300 MARKET ST, SADDLE BROOK, NJ 07663-5309
(201) 368-6117
Mailing address
300 MARKET ST, SADDLE BROOK, NJ 07663-5309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00770200
NJ
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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