Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00055300 | NJ |
NPI | 1073595369 |
---|---|
Provider Name | Mrs. Mariann E Moran |
First Address | Parsippany, NJ 07054-4909 |
Second Address | Parsippany, NJ 07054-4909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 16/04/2008 |