Evan Conquest, OTR/L

NPI #1265946057 in Vernon, New Jersey

Provider Information

NPI Number: 1265946057
Entity Type: Individual
Name: Evan Conquest, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 1, 2017
Last Updated: Jul 27, 2021

Practice Location

Address: 212 STATE RT 94 STE 2G&2H
City: Vernon
State: New Jersey
ZIP Code: 07462-3328
Phone: (973) 209-0086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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