Basic Information
Provider Information
NPI: 1184606444
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FREY
FirstName: AURELIE
MiddleName: R
NamePrefix: MRS.
NameSuffix:  
Credential: OTR CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1259 ROUTE 46
Address2: BUILDING #3
City: PARSIPPANY
State: NJ
PostalCode: 070544913
CountryCode: US
TelephoneNumber: 9733344321
FaxNumber: 9733341095
Practice Location
Address1: 385 PROSPECT AVE
Address2:  
City: HACKENSACK
State: NJ
PostalCode: 076012570
CountryCode: US
TelephoneNumber: 2013435470
FaxNumber: 2013435931
Other Information
ProviderEnumerationDate: 11/14/2005
LastUpdateDate: 04/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X46TR00200800NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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