Individual
MISS JASMIN MIESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
409 N 10TH ST, PROSPECT PARK, NJ 07508-2210
(201) 577-6434
Mailing address
409 N 10TH ST, PROSPECT PARK, NJ 07508-2210
(201) 577-6434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00704600
NJ
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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