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Individual

MRS. JAIME LYNN GLADYSZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1450 CAMELOT CT, CINNAMINSON, NJ 08077-1586
(631) 987-5930
Mailing address
1450 CAMELOT CT, CINNAMINSON, NJ 08077-1586
(631) 987-5930

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0C010690
PA
225X00000X
Occupational Therapist
46TR00472000
NJ

Other

Enumeration date
05/21/2009
Last updated
02/18/2014
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