Individual
MRS. GAIL M NIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
34 DALE AVE, WYCKOFF, NJ 07481-3317
(201) 444-1219
Mailing address
34 DALE AVE, WYCKOFF, NJ 07481-3317
(201) 444-1219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00162400
NJ
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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