Individual
JACQUELINE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT R/L
Contact information
Practice address
333 BLOOMFIELD AVE STE 102, CALDWELL, NJ 07006-5105
(973) 744-0804
Mailing address
4 EVERGREEN LN, RANDOLPH, NJ 07869-4755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00592600
NJ
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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