Individual
JENNIFER A GRAJALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
158 NEWARK AVE, JERSEY CITY, NJ 07302-2812
(201) 324-1700
Mailing address
347 MAPLE ST FL 2, KEARNY, NJ 07032-2122
(973) 330-1329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46AT09172600
NJ
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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