Whalio Doctors

NPI 1528474285

Kisha Manley

Practitioner Occupational Therapy Assistant Newark, NJ

Practice location

Address
68 Summer Ave, Newark, NJ 07104-2512
Phone
(862) 216-4030

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 008107-1 (NY)

Registry record

NPI
1528474285
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Jul 2014
Record last updated
2 Jul 2014

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.