Individual
JESSICA S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
49 LASATTA AVE, ENGLISHTOWN, NJ 07726-1656
(201) 321-2543
Mailing address
70 S SHORE DR, SOUTH AMBOY, NJ 08879-3431
(201) 321-2543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00975900
NJ
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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