Individual provider · Type 1 NPI

Jacquelyn Kuhn Provenzano, MOT

Occupational Therapist · East Brunswick, NJ

NPI number 1104499433 Active

Practice location

579 Cranbury Rd Ste C
East Brunswick, NJ 08816-5405

Call (732) 432-0733 Map

Fax (732) 432-9131

Mailing address

PO Box 416495
Boston, MA 02241-6495

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR00610600 (NJ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104499433

Jacquelyn Kuhn Provenzano, MOT's National Provider Identifier is 1104499433, issued on Jul 23, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in East Brunswick, NJ. The record was last updated on Jul 23, 2021.