Individual
JENA UNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 ELMHURST PL, GLASSBORO, NJ 08028-3013
(856) 404-8372
Mailing address
751 ELMHURST PL, GLASSBORO, NJ 08028-3013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NJ
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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