NPI 1346263795
Jessica Lyn Wolen, CTRS
Practice location
- Address
- 151 Knollcroft Rd, Lyons, NJ 07939-5001
- Phone
- (908) 647-0180
- Mailing address
- 150 S 17th Ave, Manville, NJ 08835-1622
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1346263795
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jul 2006
- Record last updated
- 8 Jul 2007
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.