Individual
JENNA MARIE THIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 JOURNAL SQUARE PLZ STE 610, JERSEY CITY, NJ 07306-3871
(551) 247-1306
Mailing address
14 PAWNEE AVE, LAKE HIAWATHA, NJ 07034-3106
(973) 294-4689
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR01010600
NJ
Other
Enumeration date
12/22/2021
Last updated
01/22/2026
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