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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER LEE GULLY, CERTIFIED REHAB THER

Active Sole Proprietor

ROGER LEE GULLY, CERTIFIED REHAB THER is a Occupational Therapy Assistant healthcare provider located in CLIFTON, New Jersey. NPI 1174539944 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CLIFTON, NJ

Registration Details

NPI Number
1174539944
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2006 (20.047537446701 yrs)
Last Updated
Jul 8, 2007
License
26BT00004800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
62 FAIRMOUNT AVE
CLIFTON, NJ, 070113007
Browse NJ providers · Browse ZIP 07011
Phone
9733400890
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in CLIFTON, NJ

Name Credential NPI
BRIANNA PARSONS 1760014898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.