Individual
JODIE D'ERMILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
278 BROAD ST UPPR, MATAWAN, NJ 07747-3229
(732) 887-4323
Mailing address
278 BROAD ST UPPR, MATAWAN, NJ 07747-3229
(732) 887-4323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011988
IL
225X00000X
Occupational Therapist
46TR00835700
NJ
225X00000X
Occupational Therapist
OT18471
FL
Other
Enumeration date
09/12/2017
Last updated
01/14/2021
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