Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 45TR00489500 | NJ |
NPI | 1003149980 |
---|---|
Provider Name | Janette D Boney |
First Address | Cherry Hill, NJ 08003-1020 |
Second Address | Cherry Hill, NJ 08003-1020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2009 |
Last Update Date | 10/09/2009 |