Individual
MISS JENNA NEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 APPLEWOOD DRIVE, FREEHOLD, NJ 07728
(732) 780-7370
Mailing address
43 REGENCY WAY, MANALAPAN, NJ 07726
(732) 735-6011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00332000
NJ
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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