NPI 1265177836

Eduardo Jose Viquez Mora, COTAL

Practitioner Occupational Therapy Assistant West Orange, NJ

Practice location

Address: 155 Pleasant Valley Way, West Orange, NJ 07052-2906
Phone: (973) 731-5100
Mailing address: 1155 Pleasant Valley Way, West Orange, NJ 07052-1424

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09226400 (NJ)

Other Occupational Therapy Assistant providers in New Jersey →

Registry record

NPI: 1265177836
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2022
Record last updated: 18 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.