Individual
JESSICA LYNN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
370 GRAND AVE STE 103, ENGLEWOOD, NJ 07631-4109
(201) 541-3900
Mailing address
67 EMWOOD DR, EMERSON, NJ 07630-1903
(201) 410-2870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01209200
NJ
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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