| NPI | 1376317123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN BUCOLO Owner, Occupational Therapist 856-316-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-03-11 |