Individual
MRS. JADE DANETTE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
405 WASHINGTON AVE, SPRING LAKE, NJ 07762-1433
(732) 685-3559
Mailing address
405 WASHINGTON AVE, SPRING LAKE, NJ 07762-1433
(732) 685-3559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09005800
NJ
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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