Individual
ELIZABETH A JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
77 BRANT AVE, SUITE 101, CLARK, NJ 07066-1560
(732) 499-4540
(732) 499-4577
Mailing address
77 BRANT AVE, SUITE 101, CLARK, NJ 07066-1560
(732) 499-4540
(732) 499-4577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00177700
NJ
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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