Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 46TA09130400 | NJ |
NPI | 1013513605 |
---|---|
Provider Name | Mrs. Jillian Bednar |
First Address | Morristown, NJ 07960-2500 |
Second Address | Morristown, NJ 07960-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |