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Individual

MS. JENNIFER L BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OTR

Contact information

Practice address
615 HOPE RD, BLDG 5B, 1ST FLOOR, EATONTOWN, NJ 07724-1277
(732) 380-7287
(732) 380-7289
Mailing address
615 HOPE RD, BLDG 5B, 1ST FLOOR, EATONTOWN, NJ 07724-1277
(732) 380-7287
(732) 380-7289

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00174300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26-2416034
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
03/01/2007
Last updated
07/15/2008
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