Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00734700 | NJ |
NPI | 1144862848 |
---|---|
Provider Name | Raquel Biondi |
First Address | Somerville, NJ 08876-1908 |
Second Address | Somerville, NJ 08876-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2019 |
Last Update Date | 14/10/2019 |