Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | NJ |
NPI | 1700090776 |
---|---|
Provider Name | Mrs. Ami K Joglekar |
First Address | Westampton, NJ 08060-3709 |
Second Address | Berlin, NJ 08009-1964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |