Individual
MRS. DEVORA JAKOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 REMON LN, LAKEWOOD, NJ 08701-3660
(845) 596-0907
Mailing address
8 REMON LN, LAKEWOOD, NJ 08701-3660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008431-1
NY
224Z00000X
Occupational Therapy Assistant
46TA09099800
NJ
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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