Individual
KELLY S SCRIVANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1275 WESTFIELD AVE, RAHWAY, NJ 07065-1900
(848) 235-5603
Mailing address
7 CEDAR DR, ROCHELLE PARK, NJ 07662-3201
(201) 344-7686
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09193700
NJ
Other
Enumeration date
04/22/2020
Last updated
02/20/2024
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