Individual
JENNIFER SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
32 POPLAR AVE, WEST LONG BRANCH, NJ 07764-1609
(732) 547-6952
Mailing address
32 POPLAR AVE, WEST LONG BRANCH, NJ 07764-1609
(732) 547-6952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00535200
NJ
225X00000X
Occupational Therapist
—
NJ
Other
Enumeration date
06/25/2012
Last updated
12/22/2020
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