Doctor Name: | MRS. JESSICA ABRAHAM |
NPI Number: | 1184764557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | 46TR00440900 |
Business Practice Address: | 67 Lacey Rd Whiting, NJ - 087592912 |
Business Phone Number: | 7328490700 |
Business Fax Number: | 7328491088 |
Mailing Address: | 67 Lacey Rd, Suite 8-12 WHITING |
State: | NJ |
Postal Code: | 087592912 |
Phone Number: | 7328490700 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 46TR00440900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |