Individual
MRS. JENNIFER LEIGH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
156 ROUTE 15 NORTH, LAFAYETTE, NJ 07848
(973) 862-6377
Mailing address
54 KOCLAS DR, NETCONG, NJ 07857-1232
(186) 225-8390
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00313700
NJ
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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