Individual
JESSICA LEIGH CACOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 ROUTE 72 E, MANAHAWKIN, NJ 08050-3544
(609) 607-7400
(609) 488-5654
Mailing address
1500 MEETING HOUSE RD BLDG 21, SEA GIRT, NJ 08750-2220
(609) 607-7400
(609) 488-5654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01171300
NJ
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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