Individual
JAEL M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866-2129
(845) 800-9305
Mailing address
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866-2129
(845) 800-9305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010950-01
NY
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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