Individual
JACQUELINE GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
Mailing address
4 ETHAN DR, FARMINGDALE, NJ 07727-4200
(732) 330-3994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00928300
NJ
Other
Enumeration date
05/06/2020
Last updated
05/08/2020
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