| OT Treehouse, LLC | |
|
23 Kilmer Dr Building 1, Suite C/d Morganville NJ 07751-1563 | |
| (908) 670-1086 | |
| Not Available |
| Full Name | OT Treehouse, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 23 Kilmer Dr, Morganville, New Jersey |
| Authorized Official Name and Position | Beth Graziano (OWNER) |
| Authorized Official Contact | 9086701086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| OT Treehouse, LLC 23 Kilmer Dr Building 1, Suite C/d Morganville NJ 07751-1563 | OT Treehouse, LLC 23 Kilmer Dr Building 1, Suite C/d Morganville NJ 07751-1563 Ph: (908) 670-1086 |
| NPI Number | 1669859773 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669859773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 46TR00084800 (New Jersey) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | 46TR00084800 (New Jersey) | Secondary |
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