Individual
MRS. JANESSE BANOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2350 HOSPITAL RD, ALLENWOOD, NJ 08720-7037
(732) 683-8600
Mailing address
165 APPLEGARTH RD, MONROE TOWNSHIP, NJ 08831-5905
(407) 749-3151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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