Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 012330 | NY |
NPI | 1043520711 |
---|---|
Provider Name | April Brazil-Marcellana |
First Address | Woodbridge, NJ 07095 |
Second Address | Woodbridge, NJ 07095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 15/10/2010 |