Individual
JASON HERSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
129 MELISSA CT, 129 MELISSA CT, LAKEWOOD, NJ 08701-5848
(718) 753-6951
Mailing address
129 MELISSA CT, 129 MELISSA CT, LAKEWOOD, NJ 08701-5848
(718) 753-6951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00642500
NJ
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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