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NPI Code Detail

MEDICARE: MRS. CARLA-MARIE STAMBONI MS, MA, OTR/L, LCAT

MEDICARE: MRS. CARLA-MARIE STAMBONI MS, MA, OTR/L, LCAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist46TR00869800NJ

General Provider Information

NPI Number : 1023383809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLA-MARIE STAMBONI MS, MA, OTR/L, LCAT
Provider Business Mailing Address
First Line : 3018 SPRUCE AVE
Second Line :
City : EGG HARBOR TWP
State : NJ
Zip : 08234-5432
Country : US
Telephone Number : 917-699-6636
Fax Number :
Provider Business Practice Location Address
First Line : 6818 DELILAH RD
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-9594
Country : US
Telephone Number : 609-453-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 01/29/2020

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