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JARRAYA PEN WILSON
24 DUGANS GRV MILLSTONE TOWNSHIP NJ 85358014
JARRAYA PEN WILSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1952633257. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6305141557. The primary specialty is OCCUPATIONAL THERAPY. The organization is NAMAH REHABILITATION LLC. The address is 24 DUGANS GRV, , MILLSTONE TOWNSHIP, NJ, 85358014. The zip code is 85358014.
|Nation Provider ID||1952633257|
|PAC ID by PECOS||6305141557|
|Professional Enrollment ID||I20160225001164|
|Name||JARRAYA PEN WILSON|
|Medical School Name||OTHER|
|Primary Specialty||OCCUPATIONAL THERAPY|
|All secondary specialties|
|Organization Name||NAMAH REHABILITATION LLC|
|Group Practice PAC ID||3072816974|
|Number of Group Practice members||2|
|Address||24 DUGANS GRV, , MILLSTONE TOWNSHIP, NJ, 85358014|
|Hospital affiliation LBN|