Individual
KRISTINE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
44 PARK ST, BLOOMFIELD, NJ 07003-2575
(973) 685-2335
Mailing address
710 MILL ST UNIT H3, BELLEVILLE, NJ 07109-5306
(973) 759-1494
(973) 759-0557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09152200
NJ
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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