Individual
JORDAN BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
299 CHERRY HILL RD STE 108, PARSIPPANY, NJ 07054-1124
(833) 587-1784
Mailing address
299 CHERRY HILL RD STE 108, PARSIPPANY, NJ 07054-1124
(862) 432-1262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09190100
NJ
Other
Enumeration date
04/18/2025
Last updated
06/03/2025
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