NPI 1316553852
Timothy de Guzman, OTA
Practice location
- Address
- 1119 Broad St, Newark, NJ 07114-2501
- Phone
- (929) 333-0882
- Fax
- (973) 732-3981
- Mailing address
- 61 Nance Rd, West Orange, NJ 07052-1630
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1316553852
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2020
- Record last updated
- 21 Sep 2020
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.