Individual
DEVORA MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 LEHIGH BLVD, JACKSON, NJ 08527-2332
(917) 532-0333
Mailing address
13 LEHIGH BLVD, JACKSON, NJ 08527-2332
(917) 532-0333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00871800
NJ
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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