Individual
HSIAOPU IRENE JAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
274 KING GEORGE RD, WARREN, NJ 07059-5157
(908) 484-7029
Mailing address
6 ISABELLA WAY, WARREN, NJ 07059-5156
(908) 822-9136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00079200
NJ
Other
Enumeration date
02/02/2018
Last updated
03/17/2018
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