Individual
JACQUELINE JAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67A MOUNTAIN BLVD EXT STE 1, WARREN, NJ 07059-5626
(908) 873-6337
Mailing address
2 RIDGE RD, PARSIPPANY, NJ 07054-1615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01207200
NJ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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