Individual
MR. JACOB BETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
525 STATE ROUTE 35, RED BANK, NJ 07701-5037
(848) 216-0765
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01028500
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR01028500
LICENSE
NJ
Enumeration date
11/22/2021
Last updated
01/19/2026
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