Individual
JESSICA PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 CENTRAL AVE, WESTFIELD, NJ 07090-2534
(908) 654-4252
(908) 654-4258
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00945500
NJ
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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