Individual
JACQUELINE ANN SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2 ALACO LN, MILFORD, NJ 08848-1905
(862) 268-7372
Mailing address
2 ALACO LN, MILFORD, NJ 08848-1905
(862) 268-7372
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00740000
NJ
Other
Enumeration date
05/09/2016
Last updated
07/08/2022
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