NPI 1659532984

Jack Ernest Solomon

Practitioner Recreation Therapist West Orange, NJ

Practice location

Address: 595 Pleasant Valley Way, West Orange, NJ 07052-2806
Phone: (973) 324-9665

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in New Jersey →

Registry record

NPI: 1659532984
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2008
Record last updated: 19 Jun 2008

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.