Individual
AVIVA M JEREMIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KATHLEEN DR, JACKSON, NJ 08527-2269
(732) 994-4198
Mailing address
51 TEMPLE PL, PASSAIC, NJ 07055-5631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09092000
NJ
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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