Most Relevant Information
Provider Data
| NPI Number: | 1003304494 |
| Provider Name: | GABRIELLE VINCENZA JAKUB |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2018 |
| Last Updated: | 06/11/2023 |
Provider Practice Location
417 MORRIS AVE APT 40
SUMMIT
NJ
079011554
Practice Location Phone/Fax
| Phone: | 9087211054 |
| Fax: |
Provider Mailing Location
417 MORRIS AVE APT 40
SUMMIT
NJ
079011554
Provider Mailing Phone/Fax
| Phone: | 9087211054 |
| Fax: |