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NPI 1558243014 · on the registry since 2025
Practice
- Address
- 5 Swimming River Rd
Lincroft, NJ 07738 - Phone
- (732) 451-4578
- Fax
- (732) 530-3561
- Organisation at this address
- Spine & Sports Medicine Of Lincroft, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-24
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey