Most Relevant Information
Provider Data
| NPI Number: | 1003284159 |
| Provider Name: | JENNY JOSEPH |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 018567 |
Most Important Dates
| Enumeration Date: | 09/07/2015 |
| Last Updated: | 09/07/2015 |
Provider Practice Location
264 CANAL ST
NEW YORK
NY
100133529
Practice Location Phone/Fax
| Phone: | 2129258069 |
| Fax: |
Provider Mailing Location
473 BRAMHALL AVE
JERSEY CITY
NJ
073042728
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |