Edwin Rafael Fernandez Grullon
Edwin Rafael Fernandez Grullon is an Occupational Therapy Assistant in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2019.
- Licensed in
- NJ
- In the registry since
- 2019
Practice location Address checks out
47 Bayside DrBayonne, NJ 07002-1278
Phone: (239) 298-6665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 46TA09163500 (NJ) |
|---|
Record details
| NPI number | 1912469321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 3, 2019 |
| Last updated in NPPES | April 4, 2019 |
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