Individual
NICOLE LAUREN AILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
158 NEWARK AVE, JERSEY CITY, NJ 07302-2812
(201) 324-1700
Mailing address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(866) 557-8669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00968000
NJ
Other
Enumeration date
03/12/2021
Last updated
11/04/2022
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