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Individual

MS. JANE ANGELA LUKASZCZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
6612 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
Mailing address
215 MAPLE AVE, WALLINGTON, NJ 07057-1211
(201) 398-6929

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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