Individual
LADY JESSENIA FROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
535 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-2002
(908) 587-8413
Mailing address
114 LIVINGSTON AVE APT 2, NEW PROVIDENCE, NJ 07974-2255
(908) 587-8413
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
46TR01045500
NJ
225XN1300X
Neurorehabilitation Occupational Therapist
46TR01045500
NJ
Other
Enumeration date
03/22/2022
Last updated
01/31/2025
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