Individual
JENNIFER LYNN BEADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
112 SURREY RD, SOUTH PLAINFIELD, NJ 07080-4432
(908) 420-8463
Mailing address
38 STATION RD, BRANCHBURG, NJ 08876-3555
(908) 420-8463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00549800
NJ
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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