Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANINE-MARIE GERVASIO, PT
Active Sole ProprietorJEANINE-MARIE GERVASIO, PT is a Pediatric Occupational Therapy healthcare provider located in WEST ORANGE, New Jersey. NPI 1134884950 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · WEST ORANGE, NJ
Registration Details
- NPI Number
- 1134884950
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2021 (4.8064203071996 yrs)
- Last Updated
- Nov 5, 2021
- License
-
PT40QA00692900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
623 EAGLE ROCK AVEWEST ORANGE, NJ, 070522948Browse NJ providers · Browse ZIP 07052
- Phone
- 2014553144
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Other Pediatric Occupational Therapy Providers in WEST ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| JESSICA LAURENZO | — | 1528793247 |
| JILLIAN ROSEN | — | 1194408070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.