Individual
JENNIFER ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2090 STATE ROUTE 27, SUITE 105, LOW VISION CENTER OF CENTRAL NEW JERSEY, NORTH BRUNSWICK, NJ 08902-3450
(732) 568-0038
Mailing address
164 EDISON AVE, EDISON, NJ 08820-3910
(732) 857-6548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00647700
NJ
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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