Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00376100 | NJ |
NPI | 1063637783 |
---|---|
Provider Name | Mrs. Nereida Meloi |
First Address | Nutley, NJ 07110-1537 |
Second Address | Newark, NJ 07107-3001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 08/07/2007 |