Individual
JESSICA LYNN DESERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
886 MADISON AVE, UNION, NJ 07083-6729
(908) 943-5472
Mailing address
886 MADISON AVE, UNION, NJ 07083-6729
(908) 943-5472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00957000
NJ
Other
Enumeration date
11/12/2020
Last updated
10/09/2024
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