Individual
JESSICA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8804 5TH AVE, BROOKLYN, NY 11209-5902
(718) 238-7451
Mailing address
513 WASHINGTON ST, APARTMENT #2, HOBOKEN, NJ 07030-4994
(908) 894-9730
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021082
NY
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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