Individual
JENNAFER BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 GODWIN AVE, FIRST FLOOR, RIDGEWOOD, NJ 07450
(201) 207-5013
Mailing address
111 GODWIN AVE, FIRST FLOOR, RIDGEWOOD, NJ 07450
(201) 207-5013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11628
CA
225X00000X
Occupational Therapist
Primary
46TR00863900
NJ
Other
Enumeration date
02/09/2011
Last updated
05/02/2019
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