Jacquelyn Kuhn Provenzano, MOT
Occupational Therapist in East Brunswick, NJ. Individual provider (NPI-1).
NPI number1104499433
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1104499433
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Kuhn Provenzano
- Credential
- MOT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2021
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00610600 | NJ | Yes |
Practice location
579 Cranbury Rd Ste CEast Brunswick, NJ 08816-5405
Phone 732-432-0733 · Fax 732-432-9131
Mailing address
Po Box 416495Boston, MA 02241-6495
Phone 631-580-5200 · Fax 631-580-5222
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All 51 Occupational Therapist providers in East Brunswick · All 2,118 providers in East Brunswick
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