Individual
MR. JORDAN BRETT ELTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
52 WESTBROOK WAY, MANALAPAN, NJ 07726-3332
(732) 446-5916
Mailing address
962 MANOR RD, STATEN ISLAND, NY 10314-7011
(718) 982-5944
(718) 494-2724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018635
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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