Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 46TA09121000 | NJ |
NPI | 1003384900 |
---|---|
Provider Name | Mrs. Apexa Rana |
First Address | Clifton, NJ 07012-1101 |
Second Address | Clifton, NJ 07012-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2018 |
Last Update Date | 08/11/2018 |