Individual
JODI PRUPIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
43 FILMORE AVE, LIVINGSTON, NJ 07039-2105
(973) 220-9703
Mailing address
43 FILMORE AVE, LIVINGSTON, NJ 07039-2105
(973) 220-9703
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00087600
NJ
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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