Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00468000 | NJ |
NPI | 1003056102 |
---|---|
Provider Name | Jennifer M Chazan |
First Address | Cherry Hill, NJ 08034-1513 |
Second Address | Cherry Hill, NJ 08034-1513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 02/03/2009 |