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Individual

MRS. JERZIE-ANN MARIE COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
74 ANDERSON AVE, TOTOWA, NJ 07512-2152
(973) 460-9313
(973) 653-9815
Mailing address
74 ANDERSON AVE, TOTOWA, NJ 07512-2152
(973) 460-9313
(973) 653-9815

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00341800
NJ

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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