Individual
JOELLE STASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 OGDEN AVE, JERSEY CITY, NJ 07307-1337
(201) 963-1800
Mailing address
105 GARDEN ST APT 3, HOBOKEN, NJ 07030-3701
(484) 767-7625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00823700
NJ
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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