SearchNew Jersey224Z00000X

Randall Gong, COTA/L

NPI 1831791706 · on the registry since 2020 · sole proprietor

Practice

Address
737 Whalers Cove Pl
Galloway, NJ 08205
Phone
(609) 335-2033

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-14

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