Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00036300 | NJ |
NPI | 1255663241 |
---|---|
Provider Name | Melissa A. Giberson |
First Address | Denville, NJ 07834-2735 |
Second Address | Denville, NJ 07834-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 02/02/2010 |