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Daisy Ingenito, OTR

Occupational Therapist, Pediatrics in Brick, NJ. Individual provider (NPI-1).

NPI number1265631998
StatusActive
Last updated in NPPESJul 12, 2007

Details

NPI
1265631998
Entity type
Individual (NPI-1)
Name
Daisy Ingenito
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2007
Last updated
Jul 12, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics46TR00156400NJYes

Practice location

24 Hoover Dr
Brick, NJ 08724-3208

Phone 732-714-8861

Mailing address

24 Hoover Dr
Brick, NJ 08724-3208

Phone 732-714-8861

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