Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00578800 | NJ |
NPI | 1003257684 |
---|---|
Provider Name | Natasha M Rao |
First Address | Toms River, NJ 08755-7339 |
Second Address | Toms River, NJ 08755-7339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2013 |
Last Update Date | 11/07/2013 |