Individual
JESSICA LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
210 HILLCREST AVE, WYCKOFF, NJ 07481-3213
(917) 273-7433
Mailing address
210 HILLCREST AVE, WYCKOFF, NJ 07481-3213
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00383000
NJ
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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