Individual
MRS. JESSICA LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS OT
Contact information
Practice address
55 HALLBERG AVE, BERGENFIELD, NJ 07621-2615
(917) 847-6678
Mailing address
55 HALLBERG AVE, BERGENFIELD, NJ 07621-2615
(917) 847-6678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008112-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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