Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00235000 | NJ |
NPI | 1376842583 |
---|---|
Provider Name | Ms. Trisha Lafronz |
First Address | Rivervale, NJ 07675-5911 |
Second Address | Rivervale, NJ 07675-5911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 28/03/2011 |