Individual
MR. JORDAN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
798 WILLOW GROVE STREET, HACKETTSTOWN, NJ 07840
(908) 852-1430
(908) 852-2615
Mailing address
798 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1718
(908) 852-1430
(908) 684-5900
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0112/00415TR/T
NJ
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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