Nicole Dewald, OT

NPI #1275755613 in Hawthorne, New Jersey

Provider Information

NPI Number: 1275755613
Entity Type: Individual
Name: Nicole Dewald, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 90 LINCOLN AVE
City: Hawthorne
State: New Jersey
ZIP Code: 07506-1436
Phone: (973) 304-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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