Individual
MRS. JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 E CHURCH ST, BLACKWOOD, NJ 08012-3910
(609) 703-6089
Mailing address
400 E CHURCH ST, BLACKWOOD, NJ 08012-3910
(609) 703-6089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA09025800
NJ
Other
Enumeration date
06/15/2009
Last updated
05/13/2026
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