Most Relevant Information
Provider Data
| NPI Number: | 1003645458 |
| Provider Name: | AMANDA LONGACRE OTD |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR01195300 |
Most Important Dates
| Enumeration Date: | 08/01/2024 |
| Last Updated: | 08/01/2024 |
Provider Practice Location
311 SPOTSWOOD ENGLISHTOWN RD
MONROE
NJ
088318627
Practice Location Phone/Fax
| Phone: | 7322515200 |
| Fax: | 7322515227 |
Provider Mailing Location
17 BLAKE AVE UNIT 1
SOMERSET
NJ
088732002
Provider Mailing Phone/Fax
| Phone: | 5403391097 |
| Fax: |