Most Relevant Information
Provider Data
| NPI Number: | 1003211376 |
| Provider Name: | DEVORA JAKOB |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 46TA09099800 |
Most Important Dates
| Enumeration Date: | 10/29/2014 |
| Last Updated: | 10/29/2014 |
Provider Practice Location
8 REMON LN
LAKEWOOD
NJ
087013660
Practice Location Phone/Fax
| Phone: | 8455960907 |
| Fax: |
Provider Mailing Location
8 REMON LN
LAKEWOOD
NJ
087013660
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |