Individual
SAMANTHA ANNE KRONGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BLA, OTR/L
Contact information
Practice address
141 S MAIN ST, MANVILLE, NJ 08835-1803
(908) 725-2266
Mailing address
65 RAINBOW HILL RD, FLEMINGTON, NJ 08822-3905
(908) 371-1157
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00350900
NJ
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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