Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00125000 | NJ |
NPI | 1013932771 |
---|---|
Provider Name | Mrs. Ildiko Paulovits |
First Address | West Orange, NJ 07052-2956 |
Second Address | Denville, NJ 07834-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 06/10/2009 |