JACQUELYN KUHN PROVENZANO

EAST BRUNSWICK, NJ
NPI1104499433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00610600)
Enumeration Date2021-07-23
Last Update Date2021-07-23
Business Address
JACQUELYN KUHN PROVENZANO MOT
579 CRANBURY RD STE C
EAST BRUNSWICK, NJ 08816-5405
Phone number: 732-432-0733
Mailing Address
JACQUELYN KUHN PROVENZANO MOT
PO BOX 416495
BOSTON, MA 02241-6495
Phone number: 631-580-5200
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