Individual
KELLY ARIANE HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
720-726 BERGEN AVENUE, JERSEY CITY, NJ 07306
(201) 273-9513
Mailing address
720 BERGEN AVE, JERSEY CITY, NJ 07306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01088700
NJ
Other
Enumeration date
10/20/2022
Last updated
10/26/2022
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