Nolan Mathew Killip Sucdad, OTD, OTR/L

NPI #1992467609 in Bergenfield, New Jersey

Provider Information

NPI Number: 1992467609
Entity Type: Individual
Name: Nolan Mathew Killip Sucdad, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Oct 10, 2021
Last Updated: Oct 10, 2021

Practice Location

Address: 18 NEW JERSEY AVE
City: Bergenfield
State: New Jersey
ZIP Code: 07621-1325
Phone: (201) 384-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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