Edwin Rafael Fernandez Grullon
NPI #1912469321 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1912469321
- Entity Type
- Individual
- Name
- Edwin Rafael Fernandez Grullon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 47 BAYSIDE DR
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-1278
- Phone
- (239) 298-6665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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