Ira Samantha Aglibut, OTR
Contractor in Nutley, NJ. Individual provider (NPI-1).
NPI number1669914560
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1669914560
- Entity type
- Individual (NPI-1)
- Name
- Ira Samantha Aglibut
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2016
- Last updated
- Nov 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
57 E Centre StApt 1204
Nutley, NJ 07110-5410
Phone 862-220-0045
Mailing address
57 E Centre StApt 1204
Nutley, NJ 07110-5410
Phone 862-220-0045
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