Individual
JIM EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
7 OLDEN CT, COLTS NECK, NJ 07722-1441
(732) 740-9682
Mailing address
7 OLDEN CT, COLTS NECK, NJ 07722-1441
(732) 740-9682
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
006813
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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