Organization
ON TRACK OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NICOLE IANNELLO MS, OTR/L (OCCUPATIONAL THERAPIST)
(516) 491-8697
Entity
Organization
Contact information
Practice address
672 COBH RD, RIVER VALE, NJ 07675-6526
(516) 491-8697
Mailing address
672 COBH RD, RIVER VALE, NJ 07675-6526
(516) 491-8697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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