MRS. Martha Vanessa Jackman-Bivas, OT
NPI #1992996995 in Montclair, New Jersey
Provider Information
- NPI Number
- 1992996995
- Entity Type
- Individual
- Name
- MRS. Martha Vanessa Jackman-Bivas, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Aug 5, 2007
Practice Location
- Address
- 111-115 GATES AVE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2500
- Phone
- (973) 746-4616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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