Individual
JILLIAN BUCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
106 AKRON AVE, HADDON TOWNSHIP, NJ 08108-2408
(856) 316-8624
(856) 219-2407
Mailing address
106 AKRON AVE, HADDON TOWNSHIP, NJ 08108-2408
(856) 316-8624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00575800
NJ
Other
Enumeration date
12/29/2015
Last updated
05/23/2024
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