Individual
JACLYN LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 WALNUT ST APT 2, NEWARK, NJ 07105-2762
(646) 596-6845
Mailing address
434 WALNUT ST APT 2, NEWARK, NJ 07105-2762
(646) 596-6845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11436
NY
Other
Enumeration date
08/12/2008
Last updated
02/27/2020
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