Individual
JADE CHINESSE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21 OSWEGO AVE, OAKLAND, NJ 07436
(954) 851-6722
Mailing address
21 OSWEGO AVE, OAKLAND, NJ 07436-2907
(954) 851-6722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009320-1
NY
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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