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Individual

MS. JEANICE PELAEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
398 POMPTON AVE, CEDAR GROVE, NJ 07009
(973) 559-9096
(973) 239-5864
Mailing address
1940 COMMERCE STREET, SUITE 210, YORKTOWN HEIGHTS, NY 10598
(914) 631-9020
(914) 631-9028

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09091700
NJ

Other

Enumeration date
03/06/2015
Last updated
03/06/2015
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