Individual
STACEY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1640 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9247
(856) 740-4444
Mailing address
1 CINNAMON CT, SICKLERVILLE, NJ 08081-4133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00021300
NJ
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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