Individual
MARCELA K JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-7887
Mailing address
172 KINGS HWY, LANDING, NJ 07850-1055
(973) 876-2531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00716100
NJ
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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