Most Relevant Information
Provider Data
| NPI Number: | 1003496886 |
| Provider Name: | JENNA M AMBROSIO OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT21674 |
Most Important Dates
| Enumeration Date: | 04/14/2021 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
300 PERRINE RD STE 315
OLD BRIDGE
NJ
088573628
Practice Location Phone/Fax
| Phone: | 7322904175 |
| Fax: |
Provider Mailing Location
2-22 BANTA PL
FAIR LAWN
NJ
074103058
Provider Mailing Phone/Fax
| Phone: | 2015098600 |
| Fax: |