Organization
JASON'S SENSORY GYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SAMUEL BERNATH MS, OTR/L (OWNER-HEAD OCCUPATIONAL THERAPIST)
(201) 833-4587
Entity
Organization
Contact information
Practice address
1183 QUEEN ANNE RD, TEANECK, NJ 07666-3529
(201) 833-4587
Mailing address
1183 QUEEN ANNE RD, TEANECK, NJ 07666-3529
(201) 833-4587
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00155200
NJ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
46TR00155200
NJ
Other
Enumeration date
01/21/2008
Last updated
07/17/2008
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