Individual
MS. JODI L EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3001 LINCOLN DR W, SUITE I, MARLTON, NJ 08053-1528
(856) 396-3173
Mailing address
3001 LINCOLN DR W, SUITE I, MARLTON, NJ 08053-1528
(856) 396-3173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00603600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131138
MEDICARE PTAN
NJ
Enumeration date
01/18/2013
Last updated
01/18/2013
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