Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00885100 | NJ |
NPI | 1003580317 |
---|---|
Provider Name | Julie Sendner |
First Address | Cedar Grove, NJ 07009-1813 |
Second Address | Jersey City, NJ 07302-3345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2021 |
Last Update Date | 02/08/2021 |