Individual
MS. JESSICA COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
385 OCEAN BLVD APT 3U, LONG BRANCH, NJ 07740
(732) 604-2593
Mailing address
385 OCEAN BLVD APT 3U, LONG BRANCH, NJ 07740
(732) 604-2593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00469400
NJ
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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