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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXIS DEJIANNE, MOT, OTR/L

Active Sole Proprietor

ALEXIS DEJIANNE, MOT, OTR/L is a Pediatric Occupational Therapist healthcare provider located in FAIR HAVEN, New Jersey. NPI 1730470733 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · FAIR HAVEN, NJ

Registration Details

NPI Number
1730470733
Provider Type
Individual
Gender
Female
NPI Issued
Apr 25, 2011 (15.266028829574 yrs)
Last Updated
Apr 25, 2011
License
46TR00334400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
125 LINDEN DR
FAIR HAVEN, NJ, 077043536
Browse NJ providers · Browse ZIP 07704
Phone
2013208873
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
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.