Individual
JENNA DILISSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 CENTURY WAY, HAMILTON, NJ 08690-1520
(609) 477-3582
Mailing address
34 CENTURY WAY, HAMILTON, NJ 08690-1520
(609) 477-3582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09198400
NJ
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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