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Individual

JESSICA M. DANZOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5689
(973) 743-0792
Mailing address
317 W CLINTON ST APT 2, HALEDON, NJ 07508-1529
(973) 653-7550

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09065000
NJ

Other

Enumeration date
08/06/2007
Last updated
05/17/2010
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