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Individual

PATRIQUE HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
174 S ORANGE AVE APT 4, SOUTH ORANGE, NJ 07079-2270
(973) 626-5663
(855) 678-8887
Mailing address
174 S ORANGE AVE APT 4, SOUTH ORANGE, NJ 07079-2270
(973) 626-5663
(855) 678-8887

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008069
NY

Other

Enumeration date
11/09/2024
Last updated
11/09/2024
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