Individual
MRS. JULIA M GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
986 BALSAM WAY, UNION, NJ 07083-7412
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00242200
NJ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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