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Individual

MISS JESSICA DIGENNARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
517 WHITEHORN CT, BRICK, NJ 08723-6475
(908) 783-9507
Mailing address
517 WHITEHORN CT, BRICK, NJ 08723-6475
(908) 783-9507

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01059700
NJ

Other

Enumeration date
05/20/2022
Last updated
05/20/2022
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