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Individual

JO ANN T MARQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
28-12 BROADWAY, FAIR LAWN, NJ 07410-3924
(201) 475-8482
(210) 475-8139
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00328500
NJ
225X00000X
Occupational Therapist
OT7108
CA

Other

Enumeration date
04/12/2007
Last updated
11/23/2020
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