Individual
JESSICA LYNN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
49 MONROE ST, BROOKLYN, NY 11238-2093
(718) 473-3808
Mailing address
761 SHERWOOD CT, ORADELL, NJ 07649-2440
(201) 414-7400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009929-1
NY
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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