Individual
JESSICA COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-7127
(973) 575-7576
Mailing address
137 CHAUCER DR, BERKELEY HTS, NJ 07922-1871
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00339900
NJ
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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