Individual
JESSICA KIRSCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S VAN DIEN AVE, RIDGEWOOD, NJ 07450-5200
(845) 269-8313
Mailing address
304 S VAN DIEN AVE, RIDGEWOOD, NJ 07450-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
019096-1
NY
225X00000X
Occupational Therapist
Primary
46TR00670700
NJ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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