Whalio Doctors

NPI 1316553852

Timothy de Guzman, OTA

Practitioner Occupational Therapy Assistant Newark, NJ

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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.