NPI 1104362623
Jayne Rock-Gangale, OT
Practice location
- Address
- 194 Montgomery St, Bloomfield, NJ 07003-4926
- Phone
- (973) 495-8409
- Fax
- (973) 337-5327
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1104362623
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jan 2017
- Record last updated
- 7 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.