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Ejiroghene R Okieruovo

Occupational Therapy Assistant in Newark, NJ. Individual provider (NPI-1).

NPI number1235781139
StatusActive
Last updated in NPPESJul 10, 2019

Details

NPI
1235781139
Entity type
Individual (NPI-1)
Name
Ejiroghene R Okieruovo
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2019
Last updated
Jul 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant–NJYes

Practice location

123 Spruce St Apt 2b
Newark, NJ 07108-3088

Phone 973-619-8081

Mailing address

123 Spruce St Apt 2b
Newark, NJ 07108-3088

Phone 973-619-8081

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