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Individual

JESSICA LAZARUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
1470 W TERRACE CIR, APT 2, TEANECK, NJ 07666-5227
(914) 953-2635
Mailing address
1470 W TERRACE CIR, APT 2, TEANECK, NJ 07666-5227
(914) 953-2635

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017324
NY
225X00000X
Occupational Therapist
Primary
46TR00702300
NJ

Other

Enumeration date
05/13/2012
Last updated
08/29/2017
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