Individual
JAINE VANPUTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
344 GROVE ST, JERSEY CITY, NJ 07302-5923
(646) 470-3401
Mailing address
22 HILLSIDE AVE, PISCATAWAY, NJ 08854-4624
(917) 864-1914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00942000
NJ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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