Patra Vongsoasup

NPI #1265839526 in Florham Park, New Jersey

Provider Information

NPI Number: 1265839526
Entity Type: Individual
Name: Patra Vongsoasup
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 1, 2014
Last Updated: Mar 2, 2022

Practice Location

Address: 140 PARK AVE
City: Florham Park
State: New Jersey
ZIP Code: 07932-1049
Phone: (973) 404-9840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Hospital	283X00000X
Occupational Therapist	225X00000X	Primary

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