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Individual

JACQUELINE AMANDA COLLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(347) 668-6367
Mailing address
545 FOSTER RD, STATEN ISLAND, NY 10309-2247
(347) 668-6367

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
024139-01
NY
225X00000X
Occupational Therapist
21482
CA
225X00000X
Occupational Therapist
Primary
46TR00932100
NJ

Other

Enumeration date
08/05/2020
Last updated
11/20/2024
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