Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 46TA09131300 | NJ |
NPI | 1013456607 |
---|---|
Provider Name | Dina Comparetto |
First Address | Ramsey, NJ 07446-2538 |
Second Address | Ramsey, NJ 07446-2538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2017 |
Last Update Date | 16/02/2017 |