Individual
JOEL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 ADELAIDE ST APT 1, BELLEVILLE, NJ 07109-2302
(201) 390-4001
Mailing address
200 JORALEMON ST APT 1, BELLEVILLE, NJ 07109-2677
(201) 328-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00652600
NJ
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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