Individual
JACQUELINE M STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 FAIRFIELD RD, EAST BRUNSWICK, NJ 08816-3647
(732) 672-1654
Mailing address
19 FAIRFIELD RD, EAST BRUNSWICK, NJ 08816-3647
(732) 672-1654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00734900
NJ
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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