Most Relevant Information
Provider Data
| NPI Number: | 1003054883 |
| Provider Name: | PETER JOHN OWSIANIK C.O.T.A./L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 46TAO9039600 |
Most Important Dates
| Enumeration Date: | 02/01/2009 |
| Last Updated: | 02/01/2009 |
Provider Practice Location
125 SAMUEL CT
LINCROFT
NJ
077381407
Practice Location Phone/Fax
| Phone: | 7323450191 |
| Fax: |
Provider Mailing Location
125 SAMUEL CT
LINCROFT
NJ
077381407
Provider Mailing Phone/Fax
| Phone: | 7323450191 |
| Fax: |