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Ruth Pacheco

Occupational Therapist in Staten Island, NY. Individual provider (NPI-1).

NPI number1982256459
StatusActive
Last updated in NPPESJul 15, 2019

Details

NPI
1982256459
Entity type
Individual (NPI-1)
Name
Ruth Pacheco
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 15, 2019
Last updated
Jul 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist021537NJYes

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-9000

Mailing address

1173 W 8th St
South Plainfield, NJ 07080-2201

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